This log is also available as text (s07125.txt) and as a (binary) annotation file (s07125.log).
Generated: Monday, 07-Jun-2010 13:20:24 EDT
(All dates below are surrogates.)
t0: [18:45:09 13/09/2016] tf: [09:21:47 18/09/2016] id: a41360 [view]
t0: [18:32:59 13/09/2016] tf: [09:19:59 18/09/2016] id: a41360n [view]
t0: [20:33:02 13/09/2016] tf: [18:33:09 17/09/2016] id: a42277 [view]
t0: [06:24:59 13/09/2016] tf: [18:31:59 17/09/2016] id: a42277n [view]
dd: 25001 ds: 1 ld: DIABETES MELLITUS W/OUT dd: 25041 ds: 4 ld: DIABETES W/RENAL MANIFES dd: 25051 ds: 6 ld: DIABETES W/OPHTHALMIC MA dd: 25061 ds: 1 ld: DIABETES W/NEUROLOGICAL dd: 25071 ds: 8 ld: DIABETES W/PERIPHERAL CI dd: 3371 ds: 3 ld: AUT NEUROPTHY IN OTH DIS dd: 36201 ds: 7 ld: DIABETIC RETINOPATHY NOS dd: 44381 ds: 9 ld: ANGIOPATHY IN OTHER DIS dd: 58381 ds: 5 ld: NEPHRITIS NOS IN OTH DIS dd: 78079 ds: 2 ld: OTHER MALAISE & FATIGUE dd: 78830 ds: 2 ld: UNS URINARY INCONTINENCE
dd: 2449 ds: 7 ld: HYPOTHYROIDISM NOS dd: 25041 ds: 3 ld: DIABETES W/RENAL MANIFES dd: 25061 ds: 1 ld: DIABETES W/NEUROLOGICAL dd: 25071 ds: 8 ld: DIABETES W/PERIPHERAL CI dd: 3371 ds: 2 ld: AUT NEUROPTHY IN OTH DIS dd: 44381 ds: 9 ld: ANGIOPATHY IN OTHER DIS dd: 58381 ds: 4 ld: NEPHRITIS NOS IN OTH DIS dd: 78820 ds: 6 ld: RETENTION OF URINE, UNSP dd: V420 ds: 5 ld: KIDNEY TRANSPLANT STATUS
dd: 7802 ds: 1 ld: SYNCOPE AND COLLAPSE
dd: 56400 ds: 1 ld: UNSPECIFIED CONSTIPATION
dd: 25001 ds: 3 ld: DIABETES MELLITUS W/OUT dd: 99676 ds: 1 ld: COMPLICATIONS FROM GU IM dd: E8799 ds: 2 ld: ABN REACT-PROCEDURE NOS dd: V420 ds: 4 ld: KIDNEY TRANSPLANT STATUS
dd: 5990 ds: 1 ld: URIN TRACT INFECTION NOS
dd: 2449 ds: 3 ld: HYPOTHYROIDISM NOS dd: 25061 ds: 2 ld: DIABETES W/NEUROLOGICAL dd: 7070 ds: 1 ld: DECUBITUS ULCER dd: V1259 ds: 4 ld: PERS HX OTH DIS CIRC SYS
dd: 25071 ds: 1 ld: DIABETES W/PERIPHERAL CI dd: 44023 ds: 2 ld: ATHEROSC EXTREM W/ULCERA
dd: 25061 ds: 1 ld: DIABETES W/NEUROLOGICAL dd: 78701 ds: 3 ld: NAUSEA WITH VOMITING dd: 78830 ds: 2 ld: UNS URINARY INCONTINENCE
dd: 7872 ds: 1 ld: DYSPHAGIA
dd: 7872 ds: 1 ld: DYSPHAGIA
dd: 78703 ds: 1 ld: VOMITING ALONE
dd: 0417 ds: 6 ld: PSEUDOMONAS INFECT NOS dd: 25011 ds: 9 ld: DIABETES W/KETOACIDOSIS dd: 25061 ds: 1 ld: DIABETES W/NEUROLOGICAL dd: 2765 ds: 7 ld: HYPOVOLEMIA dd: 436 ds: 3 ld: CVA dd: 5363 ds: 2 ld: GASTROPARESIS dd: 53642 ds: 4 ld: MECH COMPL OF GASTROSTOM dd: 5990 ds: 5 ld: URIN TRACT INFECTION NOS dd: 70714 ds: 8 ld: ULCER OF HEEL/MIDFOOT
tf: [01:33:00 13/08/2017] dt: 3184 cu: MICU-A de: FA6A
t0: [20:29:00 10/08/2017] id: BSA el: 1033 cu: MICU-A cg: 1531 t0: [20:29:00 10/08/2017] id: Admit Wt el: 1032 cu: MICU-A cg: 1531 t0: [20:29:00 10/08/2017] id: Allergy 1 el: 1020 cu: MICU-A cg: 1531 v1: No Known Drug Allergies t0: [20:29:00 10/08/2017] id: Diagnosis/op el: 1023 cu: MICU-A cg: 1531 v1: GASTROPARESIS J-TUBE PLACEMENT t0: [20:29:00 10/08/2017] id: Service el: 1026 cu: MICU-A cg: 1531 v1: MED t0: [20:29:00 10/08/2017] id: Admit Ht el: 1034 cu: MICU-A cg: 1531 t0: [20:29:00 10/08/2017] id: Readmission el: 1014 cu: MICU-A cg: 1531 t0: [20:29:00 10/08/2017] id: Marital Status el: 1006 cu: MICU-A cg: 1531 v1: M t0: [20:29:00 10/08/2017] id: Religion el: 1000 cu: MICU-A cg: 1531 v1: RCA t0: [20:29:00 10/08/2017] id: Allergy 2 el: 1021 cu: MICU-A cg: 1531 t0: [20:29:00 10/08/2017] id: Ext el: 1010 cu: MICU-A cg: 1531 t0: [20:29:00 10/08/2017] id: PIN el: 1012 cu: MICU-A cg: 1531 t0: [20:29:00 10/08/2017] id: Allergy 3 el: 1022 cu: MICU-A cg: 1531
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Po Intake el: 1 cu: MICU-A cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 351 rs: Manual st: NotStopd
t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 39.3 u1: % rs: Final st: NotStopd
t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd
t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: NBP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 60.6667 u1: mmHg st: NotStopd
t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:30:00 10/08/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Diabetic st: NotStopd t0: [20:30:00 10/08/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Family Communication el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:30:00 10/08/2017] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [20:30:00 10/08/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [20:30:00 10/08/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm st: NotStopd t0: [20:30:00 10/08/2017] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Back, Lower st: NotStopd t0: [20:30:00 10/08/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:30:00 10/08/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:30:00 10/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:30:00 10/08/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:30:00 10/08/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:30:00 10/08/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:30:00 10/08/2017] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:30:00 10/08/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:30:00 10/08/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:30:00 10/08/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:30:00 10/08/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:30:00 10/08/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:30:00 10/08/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:30:00 10/08/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:30:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3183 id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:30:00 10/08/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
id: Insulin el: 100 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions am: 100 du: Uhr rt: IV Drip id: Insulin el: 200 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions am: 100 du: Uhr rt: IV Drip
io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ra: 6 ru: ml/hr
id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions vo: 100 du: ml rt: Intravenous Push id: .9% Normal Saline el: 2 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: BUN el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 104 rs: Final st: NotStopd t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 310 rs: Final st: NotStopd t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.2 rs: Final st: NotStopd t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 104 rs: Final st: NotStopd t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 310 rs: Final st: NotStopd t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.2 rs: Final st: NotStopd
t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 12 rs: Final st: NotStopd
t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd t0: [20:05:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3208 id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [21:00:00 10/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 365 rs: Manual st: NotStopd
t0: [21:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3153 id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 10/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 10/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 10/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd
t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml nb: 1 t0: [20:00:00 10/08/2017] tf: [16:00:00 11/08/2017] dt: 1200 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 5 vu: ml t0: [21:00:00 10/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [21:00:00 10/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 6 vu: ml
t0: [20:00:00 10/08/2017] tf: [16:15:00 11/08/2017] dt: 1215 id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [21:00:00 10/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
id: .9% Normal Saline el: 2 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push id: .9% Normal Saline el: 4 cu: C-SICU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Normal Saline st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Imp Skin Cleanse #3 el: 0 cu: MICU-A cg: RN v1: Normal Saline st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Character #3 el: 0 cu: MICU-A cg: RN st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Drain/Amt #3 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Drain/Amt#2 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Treatment #3 el: 0 cu: MICU-A cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Wound Base#3 el: 0 cu: MICU-A cg: RN v1: Yellow st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Wth/Lth #2 el: 0 cu: MICU-A cg: RN v1: 5 cm v2: 5 cm st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: ImpSkin Wth/Lth #3 el: 0 cu: MICU-A cg: RN v1: 2 cm v2: 2 cm st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Back, Lower st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Impaired Skin Site#3 el: 0 cu: MICU-A cg: RN v1: Heel, Left st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: INV#1 Dsg Change el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Chairfast st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [21:00:00 10/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 10/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 10/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 10/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 10/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [22:00:00 10/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 10/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [22:00:00 10/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [22:00:00 10/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 10/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [22:00:00 10/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 10/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 10/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 10/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 341 rs: Manual st: NotStopd t0: [23:00:00 10/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 292 rs: Manual st: NotStopd
t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 430 vu: ml t0: [22:00:00 10/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 6 vu: ml t0: [22:00:00 10/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [23:00:00 10/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 8 vu: ml
t0: [22:00:00 10/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 10/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 10/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 10/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 10/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [23:00:00 10/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 10/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [23:00:00 10/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [23:00:00 10/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 10/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [23:00:00 10/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 10/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 10/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3033 id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [23:00:00 10/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [23:00:00 10/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 10/08/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 45 cv: 45 ap: none t0: [23:00:00 10/08/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 45 cv: 165 ap: none t0: [23:00:00 10/08/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 45 cv: 595 ap: none
t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Communication el: 0 cu: MICU-A cg: RN v1: Mouthing Words st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd
t0: [21:00:00 10/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 10/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 10/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 10/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [21:00:00 10/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [21:00:00 10/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [21:00:00 10/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3153 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [21:00:00 10/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:00:00 10/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3153 id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Speech el: 0 cu: MICU-A cg: RN st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3213 id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [00:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 11/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [00:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 244 rs: Manual st: NotStopd
t0: [00:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 8 vu: ml t0: [00:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 25 vu: ml
t0: [00:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:57:00 10/08/2017] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3036 id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 262 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3036 id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3036 id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 u1: mEq/L rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.6 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3036 id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 15 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 262 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3036 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3036 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 u1: mEq/L rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.6 rs: Final st: NotStopd t0: [22:57:00 10/08/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [00:00:00 11/08/2017] id: Communication el: 0 cu: MICU-A cg: RN v1: Mouthing Words st: NotStopd t0: [00:00:00 11/08/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 11/08/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 11/08/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [01:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2913 id: Eye Care el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 11/08/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 11/08/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 11/08/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm st: NotStopd t0: [00:00:00 11/08/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 11/08/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 11/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [00:00:00 11/08/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [00:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [00:00:00 11/08/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 11/08/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 11/08/2017] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 11/08/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 11/08/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 11/08/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 11/08/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal st: NotStopd t0: [00:00:00 11/08/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 11/08/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 11/08/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 11/08/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 11/08/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 11/08/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [01:00:00 11/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [01:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 11/08/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 11/08/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [01:00:00 11/08/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 11/08/2017] id: Eye Care el: 0 cu: MICU-A cg: RN st: NotStopd t0: [01:00:00 11/08/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [01:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 11/08/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [01:00:00 11/08/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [01:00:00 11/08/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [01:00:00 11/08/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [01:00:00 11/08/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [01:00:00 11/08/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [01:00:00 11/08/2017] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [01:00:00 11/08/2017] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Back, Lower st: NotStopd t0: [01:00:00 11/08/2017] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Heel, Right st: NotStopd t0: [01:00:00 11/08/2017] id: Impaired Skin Site#3 el: 0 cu: MICU-A cg: RN v1: Heel, Left st: NotStopd t0: [01:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [01:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 65.3333 u1: mmHg st: NotStopd t0: [01:00:00 11/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 11/08/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [01:00:00 11/08/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [01:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [01:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 11/08/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 11/08/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [01:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 11/08/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [01:00:00 11/08/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [01:00:00 11/08/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [01:00:00 11/08/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [01:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 208 rs: Manual st: NotStopd t0: [01:00:00 11/08/2017] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [01:00:00 11/08/2017] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [01:00:00 11/08/2017] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [01:00:00 11/08/2017] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [01:00:00 11/08/2017] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [01:00:00 11/08/2017] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [01:00:00 11/08/2017] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [00:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [01:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [01:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 35 vu: ml
t0: [01:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:20:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3613 id: Differential-Bands Hematology el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [13:20:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3613 id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [13:20:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3613 id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [13:20:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3613 id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [13:20:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3613 id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [13:20:00 10/08/2017] tf: [01:33:00 13/08/2017] dt: 3613 id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 92 rs: Final st: NotStopd
t0: [00:57:00 11/08/2017] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [00:57:00 11/08/2017] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 111 rs: Final st: NotStopd t0: [00:57:00 11/08/2017] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [00:57:00 11/08/2017] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [00:57:00 11/08/2017] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd t0: [00:57:00 11/08/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [00:57:00 11/08/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [00:57:00 11/08/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 111 rs: Final st: NotStopd t0: [00:57:00 11/08/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [00:57:00 11/08/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [00:57:00 11/08/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd
t0: [02:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [02:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 11/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [02:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 162 rs: Manual st: NotStopd
t0: [02:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [02:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 28 vu: ml
t0: [02:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [03:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [03:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 11/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [03:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 10/08/2017] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vu: ml t0: [22:00:00 10/08/2017] tf: [07:00:00 11/08/2017] dt: 540 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 1000 vu: ml t0: [23:00:00 10/08/2017] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vu: ml t0: [03:00:00 11/08/2017] tf: [07:00:00 11/08/2017] dt: 240 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 1000 vu: ml t0: [03:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 500 vu: ml t0: [03:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 500 vu: ml t0: [03:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [23:00:00 10/08/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 1063 cv: 1063 ap: none t0: [23:00:00 10/08/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 1108 cv: 2525 ap: none t0: [23:00:00 10/08/2017] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 1108 cv: 2525 ap: none t0: [23:00:00 10/08/2017] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 10/08/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 1063 cv: 1930 ap: none t0: [23:00:00 10/08/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 1063 cv: 1930 ap: none t0: [23:00:00 11/08/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 11/08/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 112 cv: 112 ap: none t0: [23:00:00 11/08/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 112 cv: 4877.8 ap: none t0: [23:00:00 11/08/2017] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 112 cv: 6377.8 ap: none t0: [23:00:00 11/08/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1490 ap: none t0: [23:00:00 11/08/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 112 cv: 4837.8 ap: none t0: [23:00:00 11/08/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1540 ap: none t0: [23:00:00 11/08/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 112 cv: 6767.8 ap: none
t0: [03:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 137 rs: Manual st: NotStopd
t0: [03:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 11 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0.1 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0.1 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 4.5 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 4.7 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 90.6 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 35.6 u1: % rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.3 u1: gm/dl rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 340 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.92 u1: /mic l rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11 rs: Final st: NotStopd
t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: PT el: 0 cu: MICU-A cg: 1663 v1: 13.1 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 36.5 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.1 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2786 id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 36.5 rs: Final st: NotStopd
t0: [03:07:00 11/08/2017] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 113 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 125 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 20 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 113 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 125 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [04:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [04:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [04:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 73.3333 u1: mmHg st: NotStopd t0: [04:00:00 11/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [04:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 116 rs: Manual st: NotStopd
t0: [01:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 8 vu: ml t0: [02:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml t0: [03:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 4 vu: ml t0: [04:00:00 11/08/2017] tf: [07:00:00 11/08/2017] dt: 180 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 3 vu: ml t0: [04:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 22 vu: ml
t0: [04:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 11/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [05:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 11/08/2017] id: Communication el: 0 cu: MICU-A cg: RN v1: Mouthing Words st: NotStopd t0: [05:00:00 11/08/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 11/08/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [05:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 11/08/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [05:00:00 11/08/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [05:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 11/08/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [05:00:00 11/08/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 11/08/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [05:00:00 11/08/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [05:00:00 11/08/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [05:00:00 11/08/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [05:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 11/08/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [05:00:00 11/08/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [05:00:00 11/08/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [05:00:00 11/08/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm st: NotStopd t0: [05:00:00 11/08/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [05:00:00 11/08/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [05:00:00 11/08/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 11/08/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [05:00:00 11/08/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 11/08/2017] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [05:00:00 11/08/2017] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Back, Lower st: NotStopd t0: [05:00:00 11/08/2017] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Heel, Right st: NotStopd t0: [05:00:00 11/08/2017] id: Impaired Skin Site#3 el: 0 cu: MICU-A cg: RN v1: Heel, Left st: NotStopd t0: [05:00:00 11/08/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [05:00:00 11/08/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [05:00:00 11/08/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [05:00:00 11/08/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [05:00:00 11/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [05:00:00 11/08/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 11/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 11/08/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 11/08/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [05:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2673 id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: On st: NotStopd t0: [05:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2673 id: PT Splint Loc/Stat#2 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: On st: NotStopd t0: [05:00:00 11/08/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [05:00:00 11/08/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [05:00:00 11/08/2017] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [05:00:00 11/08/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [05:00:00 11/08/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [05:00:00 11/08/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [05:00:00 11/08/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [05:00:00 11/08/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [05:00:00 11/08/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [05:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [05:00:00 11/08/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal st: NotStopd t0: [05:00:00 11/08/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2673 id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 11/08/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [05:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [05:00:00 11/08/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 11/08/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 11/08/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [05:00:00 11/08/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [05:00:00 11/08/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [05:00:00 11/08/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [05:00:00 11/08/2017] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [05:00:00 11/08/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 11/08/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [05:00:00 11/08/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 11/08/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [05:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2673 id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 11/08/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [05:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 65 vu: ml
t0: [05:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 130 rs: Manual st: NotStopd t0: [06:00:00 11/08/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 11/08/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 11/08/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 11/08/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: On st: NotStopd t0: [06:00:00 11/08/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: On st: NotStopd t0: [06:00:00 11/08/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [06:00:00 11/08/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 11/08/2017] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [06:00:00 11/08/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd
id: D5NS el: 1 cu: MICU-A cg: RN io: D5NS IV Infusions du: ml rt: Intravenous Push
t0: [06:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [06:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [06:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [06:00:00 11/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [06:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [06:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 198 rs: Manual st: NotStopd
t0: [04:00:00 11/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [05:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 1.5 vu: ml t0: [06:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 11/08/2017] tf: [08:00:00 11/08/2017] dt: 120 id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 500 vu: ml t0: [06:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 1.5 vu: ml t0: [06:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [06:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:07:00 11/08/2017] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 u1: mEq/L rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [03:07:00 11/08/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 u1: mEq/L rs: Final st: NotStopd
t0: [07:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [07:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [07:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [07:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [07:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [07:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [07:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 190 rs: Manual st: NotStopd
t0: [07:00:00 11/08/2017] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 250 vu: ml t0: [07:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 3 vu: ml t0: [07:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [07:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
id: Potassium Phosphate el: 201 cu: C-SICU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions am: 15 du: mEq rt: Intravenous Push id: Potassium Phosphate el: 301 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions am: 15 du: mEq rt: Intravenous Push
io: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ra: 83.3 ru: ml/hr io: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ra: 83.3 ru: ml/hr
id: .9% Normal Saline el: 2 cu: C-SICU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push id: .9% Normal Saline el: 3 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [08:00:00 11/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 11/08/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 11/08/2017] id: Communication el: 0 cu: MICU-A cg: RN v1: Mouthing Words st: NotStopd t0: [08:00:00 11/08/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2493 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 11/08/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/08/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 11/08/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 11/08/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [08:00:00 11/08/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/08/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 11/08/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 11/08/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [08:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 11/08/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 11/08/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [08:00:00 11/08/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/08/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 11/08/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [08:00:00 11/08/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 11/08/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/08/2017] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Back, Lower st: NotStopd t0: [08:00:00 11/08/2017] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 11/08/2017] id: Impaired Skin Site#3 el: 0 cu: MICU-A cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 11/08/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 11/08/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 11/08/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 11/08/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 11/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 11/08/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [08:00:00 11/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 11/08/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 11/08/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2493 id: Pain Type el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 11/08/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [08:00:00 11/08/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 11/08/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 11/08/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 11/08/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 11/08/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:00:00 11/08/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 11/08/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 11/08/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 11/08/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Garbled st: NotStopd t0: [08:00:00 11/08/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 11/08/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [08:00:00 11/08/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 11/08/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [08:00:00 11/08/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [08:00:00 11/08/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 11/08/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 11/08/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 11/08/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 11/08/2017] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 11/08/2017] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 11/08/2017] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 11/08/2017] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 11/08/2017] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 11/08/2017] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 11/08/2017] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [07:00:00 11/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [08:00:00 11/08/2017] tf: [13:00:00 11/08/2017] dt: 300 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [08:00:00 11/08/2017] tf: [17:00:00 12/08/2017] dt: 1980 id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [08:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 83.3 vu: ml t0: [08:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 83.3 vu: ml t0: [08:00:00 11/08/2017] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 0 vu: ml nb: 1 t0: [08:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 3 vu: ml t0: [08:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [06:40:00 11/08/2017] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 34.8 u1: % rs: Final st: NotStopd
t0: [06:40:00 11/08/2017] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 149 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 u1: mEq/L rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 20 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 149 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 u1: mEq/L rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [06:40:00 11/08/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd
t0: [08:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 190 rs: Manual st: NotStopd
t0: [08:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 11/08/2017] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 11/08/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 11/08/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 11/08/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [09:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [09:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2433 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2433 id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [09:00:00 11/08/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: Off st: NotStopd t0: [09:00:00 11/08/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: Off st: NotStopd t0: [09:00:00 11/08/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [09:00:00 11/08/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [09:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [09:00:00 11/08/2017] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 11/08/2017] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [09:00:00 11/08/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 11/08/2017] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [10:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [10:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [10:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [10:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 83.3 vu: ml t0: [09:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 83.3 vu: ml t0: [09:00:00 11/08/2017] tf: [11:00:00 11/08/2017] dt: 120 id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 250 vu: ml t0: [09:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 4 vu: ml t0: [09:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [09:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 11/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 11/08/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [10:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 232 rs: Manual st: NotStopd
t0: [08:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2493 id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [08:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 11/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [09:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 11/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [10:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 83.3 vu: ml t0: [10:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 83.3 vu: ml t0: [10:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 11/08/2017] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 250 vu: ml t0: [10:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 4 vu: ml t0: [10:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml
t0: [10:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:19:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2354 id: Venous CO2(Calc) VBG'S el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [10:19:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2354 id: Venous PvCO2 VBG's el: 0 cu: MICU-A cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [10:19:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2354 id: Venous PvO2 Mixed Venous Gases el: 0 cu: MICU-A cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [10:19:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2354 id: Venous pH VBG's el: 0 cu: MICU-A cg: 1663 v1: 7.28 u1: pH rs: Final st: NotStopd
t0: [10:19:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2354 id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [10:19:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2354 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd
t0: [11:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [11:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [11:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 98.6667 u1: mmHg st: NotStopd t0: [11:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [11:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 171 rs: Manual st: NotStopd
t0: [11:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:01:00 11/08/2017] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 114 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 234 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 u1: mEq/L rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2372 id: Amylase Enzymes el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 21 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 114 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 234 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 u1: mEq/L rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [09:08:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2425 id: Cyclosporin Drug Level el: 0 cu: MICU-A cg: 1663 v1: no data rs: Final st: NotStopd
t0: [08:00:00 11/08/2017] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/08/2017] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 11/08/2017] id: Communication el: 0 cu: MICU-A cg: RN v1: Mouthing Words st: NotStopd t0: [12:00:00 11/08/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/08/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 11/08/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 11/08/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [12:00:00 11/08/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/08/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 11/08/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [12:00:00 11/08/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 11/08/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [12:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 11/08/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 11/08/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [12:00:00 11/08/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 11/08/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [12:00:00 11/08/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [12:00:00 11/08/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 11/08/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 11/08/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 11/08/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2253 id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Wound Cleanser st: NotStopd t0: [12:00:00 11/08/2017] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [12:00:00 11/08/2017] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 11/08/2017] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 11/08/2017] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [12:00:00 11/08/2017] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Back, Lower st: NotStopd t0: [12:00:00 11/08/2017] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 11/08/2017] id: Impaired Skin Site#3 el: 0 cu: MICU-A cg: RN v1: Heel, Left st: NotStopd t0: [12:00:00 11/08/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 11/08/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 11/08/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 11/08/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 11/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [12:00:00 11/08/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [12:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 89.6667 u1: mmHg st: NotStopd t0: [12:00:00 11/08/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 11/08/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 11/08/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [12:00:00 11/08/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: On st: NotStopd t0: [12:00:00 11/08/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: On st: NotStopd t0: [12:00:00 11/08/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 11/08/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [12:00:00 11/08/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 11/08/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 11/08/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 11/08/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 11/08/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [12:00:00 11/08/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 11/08/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 11/08/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 11/08/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Garbled st: NotStopd t0: [12:00:00 11/08/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 11/08/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [12:00:00 11/08/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 11/08/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [12:00:00 11/08/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [12:00:00 11/08/2017] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [12:00:00 11/08/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 11/08/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 11/08/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 11/08/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 149 rs: Manual st: NotStopd t0: [12:00:00 11/08/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd
t0: [11:00:00 11/08/2017] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 250 vu: ml st: Stopped t0: [12:00:00 11/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [12:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 166.6 vu: ml t0: [12:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 166.6 vu: ml t0: [12:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 11/08/2017] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 0 vu: ml nb: 1 t0: [12:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 10 vu: ml t0: [12:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [12:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [13:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 78.3333 u1: mmHg st: NotStopd t0: [13:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [13:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 137 rs: Manual st: NotStopd
t0: [13:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:43:00 11/08/2017] id: Venous CO2(Calc) VBG'S el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [14:43:00 11/08/2017] id: Venous PvCO2 VBG's el: 0 cu: MICU-A cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [14:43:00 11/08/2017] id: Venous PvO2 Mixed Venous Gases el: 0 cu: MICU-A cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [14:43:00 11/08/2017] id: Venous pH VBG's el: 0 cu: MICU-A cg: 1663 v1: 7.34 u1: pH rs: Final st: NotStopd
t0: [14:43:00 11/08/2017] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 97 rs: Final st: NotStopd t0: [14:43:00 11/08/2017] id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [14:43:00 11/08/2017] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [14:43:00 11/08/2017] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd t0: [14:43:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2090 id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 97 rs: Final st: NotStopd t0: [14:43:00 11/08/2017] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 38 u1: % rs: Final st: NotStopd t0: [14:43:00 11/08/2017] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.17 rs: Final st: NotStopd t0: [14:43:00 11/08/2017] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [14:43:00 11/08/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [14:43:00 11/08/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [10:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2373 id: Procedures el: 0 cu: MICU-A cg: RN v1: Urinalysis st: NotStopd t0: [14:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2133 id: Significant Events el: 0 cu: MICU-A cg: RN v1: OR Sent st: NotStopd
t0: [14:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:24:00 11/08/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.9 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.9 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 36.3 u1: % rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.7 u1: gm/dl rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 373 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 4.02 u1: /mic l rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.9 rs: Final st: NotStopd
id: OR Crystalloid el: 1 cu: MICU-A cg: RN io: OR Crystalloid OR Intake du: ml rt: Intravenous Push
t0: [16:24:00 11/08/2017] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 117 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 80 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 u1: mEq/L rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 117 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 80 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 u1: mEq/L rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [16:24:00 11/08/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd
t0: [16:00:00 11/08/2017] id: Communication el: 0 cu: MICU-A cg: RN v1: Mouthing Words st: NotStopd t0: [16:00:00 11/08/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 11/08/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 11/08/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2013 id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 11/08/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2013 id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 11/08/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [16:00:00 11/08/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2013 id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2013 id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Gravity v2: Bilious st: NotStopd t0: [16:00:00 11/08/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [16:00:00 11/08/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 11/08/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 11/08/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 11/08/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 11/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [16:00:00 11/08/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 11/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [16:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2013 id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 12 u1: lpm st: NotStopd t0: [16:00:00 11/08/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 11/08/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 11/08/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 11/08/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 11/08/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 11/08/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 11/08/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 11/08/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 11/08/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Garbled st: NotStopd t0: [16:00:00 11/08/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2013 id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [16:00:00 11/08/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 11/08/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 11/08/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 11/08/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [16:15:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 1998 id: Pain Level el: 0 cu: MICU-A cg: RN v1: 6-Mod to Severe st: NotStopd t0: [16:15:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 1998 id: Pain Level/Response el: 0 cu: MICU-A cg: RN v1: 1-None to Mild st: NotStopd t0: [16:15:00 11/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:15:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 1998 id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [16:15:00 11/08/2017] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:15:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:15:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:15:00 11/08/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [16:15:00 11/08/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [16:15:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:15:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:15:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:15:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:15:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [16:15:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:15:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [16:15:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 78.3333 u1: mmHg st: NotStopd t0: [16:15:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 1998 id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Incisional st: NotStopd t0: [16:15:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 1998 id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 6-Mod to Severe st: NotStopd t0: [16:15:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 1998 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [16:15:00 11/08/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Push st: NotStopd t0: [16:15:00 11/08/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Constant st: NotStopd t0: [16:15:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:15:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [16:15:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [16:15:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [16:15:00 11/08/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:15:00 11/08/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [16:15:00 11/08/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [16:15:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:30:00 11/08/2017] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 8-Severe st: NotStopd t0: [16:30:00 11/08/2017] id: Pain Level/Response el: 0 cu: MICU-A cg: RN v1: 1-None to Mild st: NotStopd t0: [16:30:00 11/08/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [16:30:00 11/08/2017] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:30:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:30:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:30:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:30:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:30:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [16:30:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 11/08/2017] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 8-Severe st: NotStopd t0: [16:30:00 11/08/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Push st: NotStopd t0: [16:30:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:30:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [16:30:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [16:30:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [16:30:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:45:00 11/08/2017] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 6-Mod to Severe st: NotStopd t0: [16:45:00 11/08/2017] id: Pain Level/Response el: 0 cu: MICU-A cg: RN v1: 5-Moderate st: NotStopd t0: [16:45:00 11/08/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [16:45:00 11/08/2017] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:45:00 11/08/2017] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 6-Mod to Severe st: NotStopd t0: [16:45:00 11/08/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Push v2: Cool Cloth st: NotStopd t0: [16:45:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:00:00 11/08/2017] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 8-Severe st: NotStopd t0: [17:00:00 11/08/2017] id: Pain Level/Response el: 0 cu: MICU-A cg: RN v1: 3-Mild to Mod st: NotStopd t0: [17:00:00 11/08/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [17:00:00 11/08/2017] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [17:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [17:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 11/08/2017] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Back, Lower st: NotStopd t0: [17:00:00 11/08/2017] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Heel, Right st: NotStopd t0: [17:00:00 11/08/2017] id: Impaired Skin Site#3 el: 0 cu: MICU-A cg: RN v1: Heel, Left st: NotStopd t0: [17:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [17:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77.3333 u1: mmHg st: NotStopd t0: [17:00:00 11/08/2017] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 8-Severe st: NotStopd t0: [17:00:00 11/08/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Push v2: Cool Cloth st: NotStopd t0: [17:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [17:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:00:00 11/08/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 11/08/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [17:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 11/08/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [17:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 110 rs: Manual st: NotStopd t0: [17:15:00 11/08/2017] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 6-Mod to Severe st: NotStopd t0: [17:15:00 11/08/2017] id: Pain Level/Response el: 0 cu: MICU-A cg: RN v1: 3-Mild to Mod st: NotStopd t0: [17:15:00 11/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:15:00 11/08/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [17:15:00 11/08/2017] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:15:00 11/08/2017] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Incisional st: NotStopd t0: [17:15:00 11/08/2017] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 6-Mod to Severe st: NotStopd t0: [17:15:00 11/08/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [17:15:00 11/08/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Constant st: NotStopd
t0: [13:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 107 vo: 83.3 vu: ml st: Stopped t0: [13:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 83.3 vu: ml st: Stopped t0: [16:00:00 11/08/2017] tf: [12:00:00 12/08/2017] dt: 1200 id: OR Crystalloid OR Intake el: 1 cu: MICU-A cg: RN ai: 416 vo: 1500 vu: ml t0: [16:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [16:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 40 vu: ml t0: [16:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 16 vu: ml st: Stopped t0: [16:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 75 vu: ml t0: [17:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [16:30:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 1983 id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped t0: [16:30:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 11/08/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [16:00:00 11/08/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd
t0: [16:00:00 11/08/2017] tf: [17:00:00 11/08/2017] dt: 60 id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 40 vu: ml t0: [17:00:00 11/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 150 vu: ml t0: [17:00:00 11/08/2017] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 0 vu: ml nb: 1
t0: [18:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [18:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [18:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [18:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [18:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [18:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 150 rs: Manual st: NotStopd t0: [18:30:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:30:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:30:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:30:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:30:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:30:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:30:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [18:30:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:30:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [18:30:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [18:30:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:30:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [18:30:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 9 u1: BPM st: NotStopd t0: [18:30:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [18:30:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [18:30:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 11/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 150 vu: ml t0: [18:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 11/08/2017] tf: [21:00:00 11/08/2017] dt: 180 id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 100 vu: ml t0: [18:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 1893 id: Gastric Gastric Tube el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [18:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [23:00:00 11/08/2017] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 50 ap: none t0: [23:00:00 11/08/2017] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 50 ap: none
t0: [18:30:00 11/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [18:30:00 11/08/2017] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 3 u1: lpm st: NotStopd
t0: [19:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWork v1: 159 rs: Manual st: NotStopd
t0: [19:30:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWkr v1: 155 rs: Manual st: NotStopd
t0: [19:00:00 11/08/2017] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 6-Mod to Severe st: NotStopd t0: [19:00:00 11/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [19:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [19:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [19:00:00 11/08/2017] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Incisional st: NotStopd t0: [19:00:00 11/08/2017] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 6-Mod to Severe st: NotStopd t0: [19:00:00 11/08/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [19:00:00 11/08/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Push st: NotStopd t0: [19:00:00 11/08/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Constant st: NotStopd t0: [19:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [19:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [19:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 11/08/2017] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 100 vu: ml t0: [19:00:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 1833 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml
t0: [19:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:01:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2372 id: Triglyceride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 45 rs: Final st: NotStopd t0: [10:01:00 11/08/2017] tf: [01:33:00 13/08/2017] dt: 2372 id: Triglyceride (0-200) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 45 rs: Final st: NotStopd
t0: [20:00:00 11/08/2017] id: Pain Level/Response el: 0 cu: MICU-A cg: RN v1: 4-Mild to Mod st: NotStopd t0: [20:00:00 11/08/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 11/08/2017] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [20:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [20:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 92.3333 u1: mmHg st: NotStopd t0: [20:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [20:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [20:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 11/08/2017] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 100 vu: ml t0: [20:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml t0: [20:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [20:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
id: KCL el: 100 cu: MICU-A cg: RN io: D5/.45NS 10000.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
id: D5/.45NS el: 1 cu: MICU-A cg: RN io: D5/.45NS 10000.0ml IV Infusions vo: 10000 du: ml rt: Intravenous Push
t0: [21:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWkr v1: 152 rs: Manual st: NotStopd
t0: [21:00:00 11/08/2017] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 4-Mild to Mod st: NotStopd t0: [21:00:00 11/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 11/08/2017] id: Communication el: 0 cu: MICU-A cg: RN v1: Mouthing Words st: NotStopd t0: [21:00:00 11/08/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [21:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 11/08/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [21:00:00 11/08/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [21:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 11/08/2017] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [21:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 11/08/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 11/08/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [21:00:00 11/08/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [21:00:00 11/08/2017] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [21:00:00 11/08/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Gravity v2: Bilious st: NotStopd t0: [21:00:00 11/08/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [21:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [21:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 11/08/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [21:00:00 11/08/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [21:00:00 11/08/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [21:00:00 11/08/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [21:00:00 11/08/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [21:00:00 11/08/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [21:00:00 11/08/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 11/08/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [21:00:00 11/08/2017] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Back, Lower st: NotStopd t0: [21:00:00 11/08/2017] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Heel, Right st: NotStopd t0: [21:00:00 11/08/2017] id: Impaired Skin Site#3 el: 0 cu: MICU-A cg: RN v1: Heel, Left st: NotStopd t0: [21:00:00 11/08/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 11/08/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [21:00:00 11/08/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 11/08/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [21:00:00 11/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [21:00:00 11/08/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [21:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [21:00:00 11/08/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 11/08/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [21:00:00 11/08/2017] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Incisional st: NotStopd t0: [21:00:00 11/08/2017] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 4-Mild to Mod st: NotStopd t0: [21:00:00 11/08/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [21:00:00 11/08/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Push st: NotStopd t0: [21:00:00 11/08/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Constant st: NotStopd t0: [21:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [21:00:00 11/08/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 11/08/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [21:00:00 11/08/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [21:00:00 11/08/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [21:00:00 11/08/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [21:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [21:00:00 11/08/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [21:00:00 11/08/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 11/08/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Garbled st: NotStopd t0: [21:00:00 11/08/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [21:00:00 11/08/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [21:00:00 11/08/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [21:00:00 11/08/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.5 u1: Deg. C st: NotStopd t0: [21:00:00 11/08/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 95.9 u1: Deg. F st: NotStopd t0: [21:00:00 11/08/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [21:00:00 11/08/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [21:00:00 11/08/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 11/08/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [21:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 11/08/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd
t0: [21:00:00 11/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vu: ml nb: 1 t0: [21:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 11/08/2017] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 100 vu: ml st: Stopped t0: [21:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml
t0: [21:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [22:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [22:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 95.3333 u1: mmHg st: NotStopd t0: [22:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [22:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [22:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 11/08/2017] tf: [08:00:00 12/08/2017] dt: 600 id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [22:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml t0: [22:00:00 11/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 250 vu: ml
t0: [22:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 11/08/2017] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 11/08/2017] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 1490 ap: none t0: [23:00:00 11/08/2017] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 1540 ap: none
t0: [22:00:00 11/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWkr v1: 148 rs: Manual st: NotStopd
t0: [23:00:00 11/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 11/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 11/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 11/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 11/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 11/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 11/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [23:00:00 11/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 11/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [23:00:00 11/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [23:00:00 11/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 11/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [23:00:00 11/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [23:00:00 11/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 11/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 11/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [23:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 11/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 11/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml
t0: [23:00:00 11/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 11/08/2017] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 112 cv: 112 ap: none t0: [23:00:00 11/08/2017] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 112 cv: 4877.8 ap: none t0: [23:00:00 11/08/2017] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 112 cv: 6377.8 ap: none t0: [23:00:00 11/08/2017] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 112 cv: 4837.8 ap: none t0: [23:00:00 11/08/2017] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 112 cv: 6767.8 ap: none
t0: [00:00:00 12/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWkr v1: 136 rs: Manual st: NotStopd
t0: [00:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [00:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 12/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [00:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [00:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [00:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 7 u1: BPM st: NotStopd t0: [00:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 12/08/2017] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [01:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [01:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [01:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 89.3333 u1: mmHg st: NotStopd t0: [01:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [01:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 9 u1: BPM st: NotStopd t0: [01:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 12/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [00:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [00:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml t0: [01:00:00 12/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [01:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [01:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml t0: [01:00:00 12/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [00:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [01:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [02:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 12/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [02:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [02:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [02:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [02:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [02:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 12/08/2017] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd
t0: [02:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [02:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml
t0: [02:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 12/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWkr v1: 126 rs: Manual st: NotStopd
t0: [03:00:00 12/08/2017] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 5-Moderate st: NotStopd t0: [03:00:00 12/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 12/08/2017] id: Communication el: 0 cu: MICU-A cg: RN v1: Mouthing Words st: NotStopd t0: [03:00:00 12/08/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [03:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 12/08/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [03:00:00 12/08/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [03:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 12/08/2017] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [03:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 12/08/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [03:00:00 12/08/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [03:00:00 12/08/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [03:00:00 12/08/2017] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [03:00:00 12/08/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Gravity v2: Bilious st: NotStopd t0: [03:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [03:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 12/08/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [03:00:00 12/08/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [03:00:00 12/08/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [03:00:00 12/08/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [03:00:00 12/08/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [03:00:00 12/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [03:00:00 12/08/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [03:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [03:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [03:00:00 12/08/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [03:00:00 12/08/2017] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Incisional st: NotStopd t0: [03:00:00 12/08/2017] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 5-Moderate st: NotStopd t0: [03:00:00 12/08/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [03:00:00 12/08/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Push st: NotStopd t0: [03:00:00 12/08/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Constant st: NotStopd t0: [03:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [03:00:00 12/08/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [03:00:00 12/08/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [03:00:00 12/08/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [03:00:00 12/08/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [03:00:00 12/08/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [03:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 9 u1: BPM st: NotStopd t0: [03:00:00 12/08/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [03:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 12/08/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Garbled st: NotStopd t0: [03:00:00 12/08/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [03:00:00 12/08/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [03:00:00 12/08/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 12/08/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [03:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 12/08/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd
t0: [03:00:00 12/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [03:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [03:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml t0: [03:00:00 12/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [03:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 12/08/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 12/08/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 12/08/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 2948 ap: none t0: [23:00:00 12/08/2017] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 2948 ap: none t0: [23:00:00 12/08/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 2500 ap: none t0: [23:00:00 12/08/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 448 ap: none t0: [23:00:00 12/08/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 2500 ap: none t0: [23:00:00 12/08/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 7215.8 ap: none
t0: [04:00:00 12/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWkr v1: 132 rs: Manual st: NotStopd
t0: [03:00:00 12/08/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [03:00:00 12/08/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [03:00:00 12/08/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [03:00:00 12/08/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:00:00 12/08/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [03:00:00 12/08/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [03:00:00 12/08/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 12/08/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:00:00 12/08/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 12/08/2017] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Normal Saline st: NotStopd t0: [03:00:00 12/08/2017] id: Imp Skin Cleanse #3 el: 0 cu: MICU-A cg: RN v1: Normal Saline st: NotStopd t0: [03:00:00 12/08/2017] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 12/08/2017] id: ImpSkin Character #3 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 12/08/2017] id: ImpSkin Drain/Amt #3 el: 0 cu: MICU-A cg: RN v1: None v2: Scant st: NotStopd t0: [03:00:00 12/08/2017] id: ImpSkin Drain/Amt#2 el: 0 cu: MICU-A cg: RN v1: None v2: Scant st: NotStopd t0: [03:00:00 12/08/2017] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Wet to Dry st: NotStopd t0: [03:00:00 12/08/2017] id: ImpSkin Treatment #3 el: 0 cu: MICU-A cg: RN v1: Wet to Dry st: NotStopd t0: [03:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 1353 id: ImpSkin Wound Base#2 el: 0 cu: MICU-A cg: RN v1: Black st: NotStopd t0: [03:00:00 12/08/2017] id: ImpSkin Wound Base#3 el: 0 cu: MICU-A cg: RN v1: Purple st: NotStopd t0: [03:00:00 12/08/2017] id: ImpSkin Wth/Lth #2 el: 0 cu: MICU-A cg: RN v1: 3 cm v2: 3 cm st: NotStopd t0: [03:00:00 12/08/2017] id: ImpSkin Wth/Lth #3 el: 0 cu: MICU-A cg: RN v1: 1 cm v2: 1 cm st: NotStopd t0: [03:00:00 12/08/2017] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Back, Lower st: NotStopd t0: [03:00:00 12/08/2017] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Heel, Right st: NotStopd t0: [03:00:00 12/08/2017] id: Impaired Skin Site#3 el: 0 cu: MICU-A cg: RN v1: Heel, Left st: NotStopd t0: [03:00:00 12/08/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 12/08/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: On st: NotStopd t0: [03:00:00 12/08/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: On st: NotStopd t0: [03:00:00 12/08/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [03:00:00 12/08/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [03:00:00 12/08/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 12/08/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [03:00:00 12/08/2017] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [03:00:00 12/08/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 12/08/2017] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [03:00:00 12/08/2017] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [03:00:00 12/08/2017] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [03:00:00 12/08/2017] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [03:00:00 12/08/2017] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [03:00:00 12/08/2017] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [03:00:00 12/08/2017] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [04:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 12/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [04:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 7 u1: BPM st: NotStopd t0: [04:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [05:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [05:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [05:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [05:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [05:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [04:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml t0: [05:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [05:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml t0: [05:00:00 12/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 750 vu: ml
t0: [04:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [05:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [06:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [06:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [06:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [06:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [06:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [06:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml
t0: [06:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:25:00 12/08/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.1 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.1 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 36.9 u1: % rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.4 u1: gm/dl rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 361 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.99 u1: /mic l rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.1 rs: Final st: NotStopd
t0: [05:25:00 12/08/2017] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 11 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 111 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 u1: mEq/L rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 11 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 111 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 u1: mEq/L rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [05:25:00 12/08/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [06:00:00 12/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [06:00:00 12/08/2017] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [07:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [07:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [07:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [07:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [07:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [07:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 12/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [07:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [07:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml t0: [07:00:00 12/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [07:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
io: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ra: 10 ru: ml/hr io: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU-A cg: RN ra: 10 ru: ml/hr
t0: [08:00:00 12/08/2017] id: D5NS IV Infusions el: 1 cu: MICU-A cg: -1 ai: 154 vo: 0 st: D/C'd
id: .9% Normal Saline el: 3 cu: C-SICU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push id: .9% Normal Saline el: 4 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [08:00:00 12/08/2017] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 5-Moderate st: NotStopd t0: [08:00:00 12/08/2017] id: Pain Level/Response el: 0 cu: MICU-A cg: RN v1: 0-None st: NotStopd t0: [08:00:00 12/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/08/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 12/08/2017] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 12/08/2017] id: Communication el: 0 cu: MICU-A cg: RN v1: Mouthing Words st: NotStopd t0: [08:00:00 12/08/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 12/08/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 12/08/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/08/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 12/08/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 12/08/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [08:00:00 12/08/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/08/2017] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/08/2017] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 12/08/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 12/08/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 12/08/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 12/08/2017] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 12/08/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [08:00:00 12/08/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [08:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 12/08/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 12/08/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [08:00:00 12/08/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/08/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 12/08/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [08:00:00 12/08/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 12/08/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 12/08/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/08/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 12/08/2017] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Back, Lower st: NotStopd t0: [08:00:00 12/08/2017] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 12/08/2017] id: Impaired Skin Site#3 el: 0 cu: MICU-A cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 12/08/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 12/08/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 12/08/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 12/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [08:00:00 12/08/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [08:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [08:00:00 12/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 12/08/2017] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 3 u1: lpm st: NotStopd t0: [08:00:00 12/08/2017] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 12/08/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 12/08/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 12/08/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 12/08/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: Off st: NotStopd t0: [08:00:00 12/08/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: Off st: NotStopd t0: [08:00:00 12/08/2017] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Incisional st: NotStopd t0: [08:00:00 12/08/2017] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 5-Moderate st: NotStopd t0: [08:00:00 12/08/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 12/08/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Push st: NotStopd t0: [08:00:00 12/08/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 12/08/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 12/08/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [08:00:00 12/08/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 12/08/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 12/08/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 12/08/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:00:00 12/08/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 12/08/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 12/08/2017] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 12/08/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 12/08/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Garbled st: NotStopd t0: [08:00:00 12/08/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 12/08/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [08:00:00 12/08/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 12/08/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 12/08/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 95 u1: Deg. F st: NotStopd t0: [08:00:00 12/08/2017] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [08:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 1053 id: Untoward Effect el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 12/08/2017] id: Untoward Effect el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 12/08/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 12/08/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 12/08/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 12/08/2017] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 12/08/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 12/08/2017] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 12/08/2017] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [08:00:00 12/08/2017] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 12/08/2017] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 12/08/2017] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 12/08/2017] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 12/08/2017] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 12/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 150 vu: ml t0: [08:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 0 vu: ml nb: 1 t0: [08:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [08:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml t0: [08:00:00 12/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 220 vu: ml
t0: [08:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 12/08/2017] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Wound Cleanser st: NotStopd t0: [08:00:00 12/08/2017] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [08:00:00 12/08/2017] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 12/08/2017] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 12/08/2017] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [08:00:00 12/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 98 rs: Manual st: NotStopd t0: [09:00:00 12/08/2017] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 5-Moderate st: NotStopd t0: [09:00:00 12/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 12/08/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [09:00:00 12/08/2017] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 12/08/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 12/08/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [09:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [09:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [09:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [09:00:00 12/08/2017] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Incisional st: NotStopd t0: [09:00:00 12/08/2017] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 5-Moderate st: NotStopd t0: [09:00:00 12/08/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [09:00:00 12/08/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: Repositioned v2: Cool Cloth st: NotStopd t0: [09:00:00 12/08/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [09:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [09:00:00 12/08/2017] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [09:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [09:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 12/08/2017] tf: [17:00:00 12/08/2017] dt: 480 id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [09:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 993 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 2 vu: ml
t0: [09:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 1053 id: Education Barrier el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 1053 id: Education Handout el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 1053 id: Education Learner el: 0 cu: MICU-A cg: RN v1: Patient/Family st: NotStopd t0: [08:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 1053 id: Education Method el: 0 cu: MICU-A cg: RN v1: Explanation st: NotStopd t0: [08:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 1053 id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 1053 id: Education Response el: 0 cu: MICU-A cg: RN v1: Understands st: NotStopd t0: [08:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 1053 id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: PEG st: NotStopd t0: [08:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 1053 id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: PCA/Pain Manage st: NotStopd
t0: [10:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [10:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [10:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 81.6667 u1: mmHg st: NotStopd t0: [10:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [10:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 9 u1: BPM st: NotStopd t0: [10:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:30:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:30:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:30:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:30:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:30:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:30:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:30:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [10:30:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:30:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [10:30:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 81.6667 u1: mmHg st: NotStopd t0: [10:30:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:30:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [10:30:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [10:30:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [10:30:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:30:00 12/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 78 rs: Manual st: NotStopd
t0: [10:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [10:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 1.5 vu: ml t0: [10:00:00 12/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [10:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [10:30:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 12/08/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [11:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [11:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 80.6667 u1: mmHg st: NotStopd t0: [11:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [11:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [11:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 12/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [12:00:00 12/08/2017] id: OR Crystalloid OR Intake el: 1 cu: MICU-A cg: -1 ai: 416 vo: 0 st: D/C'd
id: D5W el: 2 cu: MICU-A cg: RN io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [11:00:00 12/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 12/08/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Push st: NotStopd t0: [12:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 12/08/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [12:00:00 12/08/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [12:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 12/08/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 12/08/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [12:00:00 12/08/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/08/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [12:00:00 12/08/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 12/08/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [12:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [12:00:00 12/08/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [12:00:00 12/08/2017] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 2 u1: lpm st: NotStopd t0: [12:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [12:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [12:00:00 12/08/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 12/08/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 12/08/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [12:00:00 12/08/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 12/08/2017] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [11:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 0.5 vu: ml t0: [12:00:00 12/08/2017] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [12:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [12:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 12/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml
t0: [11:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 12/08/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [12:00:00 12/08/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 12/08/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 12/08/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 95 u1: Deg. F st: NotStopd
t0: [12:00:00 12/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 89 rs: Manual st: NotStopd
t0: [12:00:00 12/08/2017] tf: [01:33:00 13/08/2017] dt: 813 id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [12:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 0.5 vu: ml
t0: [12:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 12/08/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [13:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [13:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74.3333 u1: mmHg st: NotStopd t0: [13:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [13:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [13:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml t0: [13:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 0.5 vu: ml t0: [13:00:00 12/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [13:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 12/08/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 12/08/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 12/08/2017] id: Communication el: 0 cu: MICU-A cg: RN v1: Mouthing Words st: NotStopd t0: [12:00:00 12/08/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 12/08/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 12/08/2017] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 12/08/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 12/08/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [12:00:00 12/08/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 12/08/2017] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 12/08/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [12:00:00 12/08/2017] id: HOB el: 0 cu: MICU-A cg: RN st: NotStopd t0: [12:00:00 12/08/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 12/08/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 12/08/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 12/08/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 12/08/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 12/08/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 12/08/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 12/08/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 12/08/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Garbled st: NotStopd t0: [12:00:00 12/08/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 12/08/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 12/08/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 12/08/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [13:00:00 12/08/2017] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 5-Moderate st: NotStopd t0: [13:00:00 12/08/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 12/08/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [13:00:00 12/08/2017] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 12/08/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [13:00:00 12/08/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [13:00:00 12/08/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 12/08/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 12/08/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 12/08/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: Off st: NotStopd t0: [13:00:00 12/08/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: Off st: NotStopd t0: [13:00:00 12/08/2017] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Incisional st: NotStopd t0: [13:00:00 12/08/2017] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 5-Moderate st: NotStopd t0: [13:00:00 12/08/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [13:00:00 12/08/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: Repositioned st: NotStopd t0: [13:00:00 12/08/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Intermittent st: NotStopd t0: [13:00:00 12/08/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [13:00:00 12/08/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [13:00:00 12/08/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [13:00:00 12/08/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.5 u1: Deg. C st: NotStopd t0: [13:00:00 12/08/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 95.9 u1: Deg. F st: NotStopd t0: [13:00:00 12/08/2017] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [13:00:00 12/08/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd
t0: [14:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [14:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [14:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 78.3333 u1: mmHg st: NotStopd t0: [14:00:00 12/08/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: On st: NotStopd t0: [14:00:00 12/08/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: On st: NotStopd t0: [14:00:00 12/08/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [14:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [14:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [14:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [14:00:00 12/08/2017] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [14:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:25:00 12/08/2017] id: Cyclosporin Drug Level el: 0 cu: MICU-A cg: 1663 v1: no data rs: Final st: NotStopd
t0: [14:00:00 12/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 162 rs: Manual st: NotStopd
t0: [14:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 12/08/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWork v1: 164 rs: Manual st: NotStopd
t0: [15:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [15:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77.6667 u1: mmHg st: NotStopd t0: [15:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [15:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [15:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [16:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 12/08/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [16:00:00 12/08/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [16:00:00 12/08/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 12/08/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 7 v2: 15 st: NotStopd t0: [16:00:00 12/08/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 12/08/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 12/08/2017] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 12/08/2017] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: On st: NotStopd t0: [16:00:00 12/08/2017] id: PT Splint Loc/Stat#2 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: On st: NotStopd t0: [16:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [16:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 7 u1: BPM st: NotStopd t0: [16:00:00 12/08/2017] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 12/08/2017] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [16:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 12/08/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 12/08/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 12/08/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 12/08/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 12/08/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 12/08/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [17:00:00 12/08/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 12/08/2017] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 12/08/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [17:00:00 12/08/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 12/08/2017] id: NBP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [17:00:00 12/08/2017] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [17:00:00 12/08/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 12/08/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 65.9 u1: kg st: NotStopd t0: [17:00:00 12/08/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 7 u1: BPM st: NotStopd t0: [17:00:00 12/08/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 12/08/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 300 vu: ml t0: [16:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [16:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 30 vu: ml t0: [16:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [16:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 3.5 vu: ml t0: [16:00:00 12/08/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [17:00:00 12/08/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 100 vu: ml st: Stopped t0: [17:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml st: Stopped t0: [17:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 12/08/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml st: Stopped t0: [17:00:00 12/08/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 110 vo: 1.5 vu: ml
t0: [15:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [16:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [17:00:00 12/08/2017] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 12/08/2017] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 12/08/2017] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 12/08/2017] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN cv: 2948 ap: none t0: [23:00:00 12/08/2017] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN cv: 2948 ap: none t0: [23:00:00 12/08/2017] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN cv: 2500 ap: none t0: [23:00:00 12/08/2017] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN cv: 448 ap: none t0: [23:00:00 12/08/2017] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN cv: 2500 ap: none t0: [23:00:00 12/08/2017] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN cv: 7215.8 ap: none
dd: 25001 ds: 2 ld: DIABETES MELLITUS W/OUT dd: 4019 ds: 3 ld: HYPERTENSION NOS dd: 5990 ds: 1 ld: URIN TRACT INFECTION NOS
dd: 0388 ds: 2 ld: SEPTICEMIA NEC dd: 1179 ds: 5 ld: MYCOSES NEC & NOS dd: 25061 ds: 8 ld: DIABETES W/NEUROLOGICAL dd: 5070 ds: 1 ld: FOOD/VOMIT PNEUMONITIS dd: 51881 ds: 4 ld: RESPIRATORY FAILURE dd: 5849 ds: 7 ld: ACUTE RENAL FAILURE NOS dd: 5990 ds: 9 ld: URIN TRACT INFECTION NOS dd: 99592 ds: 3 ld: SYST INFLAM RESPN INFECT dd: 99681 ds: 6 ld: COMPLIC KIDNEY TRANSPLAN
tf: [09:00:00 09/09/2017] pt: Unit Dose rt: PO fr: Q12H fs: 5, 17 dn: 2 m1: Cyclosporine (Sandimmune) v1: 100 u1: mg tf: [13:00:00 09/09/2017] pt: Unit Dose rt: PO fr: Q24H fs: 5 dn: 1 m1: Pantoprazole v1: 40 u1: mg tf: [04:00:00 10/09/2017] pt: Unit Dose rt: TP fr: ONCE fs: 5 dn: 1 m1: Scopolamine Patch v1: 1 u1: PTCH tf: [10:00:00 10/09/2017] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT tf: [00:00:00 11/09/2017] pt: Unit Dose rt: IV fr: QD:PRN m1: Sodium Chloride 0.9% Flush v1: 3 u1: ml tf: [16:00:00 27/09/2017] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Acetaminophen (Liquid) v1: 650 u1: mg tf: [18:00:00 29/09/2017] pt: Unit Dose rt: PO fr: Q6H:PRN m1: Promethazine HCl v1: 25 u1: mg
tf: [01:00:00 11/09/2017] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metronidazole v1: 500 u1: mg tf: [18:00:00 29/09/2017] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Baclofen v1: 15 u1: mg
tf: [09:00:00 09/09/2017] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Multivitamins v1: 1 u1: CAP tf: [11:00:00 10/09/2017] pt: Unit Dose rt: NG fr: QD fs: 10 dn: 1 m1: Lansoprazole Oral Suspension v1: 30 u1: mg tf: [11:00:00 10/09/2017] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Levothyroxine Sodium v1: 25 u1: mcg tf: [12:00:00 11/09/2017] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Prednisone v1: 5 u1: mg tf: [14:00:00 21/09/2017] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Clopidogrel Bisulfate v1: 75 u1: mg tf: [16:00:00 25/09/2017] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Citalopram Hydrobromide v1: 30 u1: mg tf: [18:00:00 29/09/2017] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Aspirin EC v1: 81 u1: mg tf: [18:00:00 29/09/2017] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Azathioprine v1: 50 u1: mg tf: [18:00:00 29/09/2017] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Finasteride v1: 5 u1: mg tf: [18:00:00 29/09/2017] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Folic Acid v1: 1 u1: mg tf: [18:00:00 29/09/2017] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Multivitamins v1: 1 u1: CAP
tf: [13:00:00 10/09/2017] pt: IV Piggyback rt: IV fr: Q24H fs: 12 dn: 1 m1: Levofloxacin v1: 500 u1: mg m2: Dextrose 5% v2: 100 u2: ml
tf: [22:00:00 10/09/2017] pt: Unit Dose rt: PO fr: Q12H fs: 5, 17 dn: 2 m1: Cyclosporine (Sandimmune) v1: 100 u1: mg
tf: [18:00:00 29/09/2017] pt: Unit Dose rt: TP fr: BID fs: 08, 20 dn: 2 m1: ACCUZYME v1: 1 u1: Appl
tf: [10:00:00 10/09/2017] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Glargine v1: 36 u1: UNIT tf: [12:00:00 12/09/2017] pt: Unit Dose rt: PO fr: HS fs: 22 dn: 1 m1: Tamsulosin HCl v1: 0.4 u1: mg tf: [18:00:00 29/09/2017] pt: Unit Dose rt: SC fr: TID fs: 08, 16, 22 dn: 3 m1: Heparin v1: 5000 u1: UNIT
tf: [22:00:00 10/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 7 dn: 1 m1: Dextrose 50% v1: 25 u1: gm
tf: [18:00:00 29/09/2017] pt: Unit Dose rt: IV fr: QD fs: 10 dn: 1 m1: Levothyroxine Sodium v1: 12.5 u1: mcg
tf: [22:00:00 10/09/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 11 dn: 1 m1: Potassium Phosphate v1: 15 u1: mmol m2: NS v2: 500 u2: ml tf: [22:00:00 10/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm tf: [01:00:00 11/09/2017] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT tf: [18:00:00 29/09/2017] pt: Unit Dose rt: TP fr: QID:PRN m1: Miconazole Powder 2% v1: 1 u1: Appl
tf: [17:00:00 10/09/2017] pt: IV Large Volume rt: IV fr: ONCE fs: 12 dn: 1 m1: Multivitamin-12 v1: 10 u1: ml m2: Amino Acids 4.25% W/ Dextrose 5% v2: 1000 u2: ml tf: [18:00:00 29/09/2017] pt: IV Piggyback rt: IV fr: Q24H fs: 14 dn: 1 m1: Pantoprazole Sodium v1: 40 u1: mg m2: NS v2: 100 u2: ml
tf: [09:00:00 20/09/2017] pt: IV Piggyback rt: IV fr: Q8H fs: 2, 10, 18 dn: 3 m1: Piperacillin-Tazobactam Na v1: 4.5 u1: gm m2: Iso-Osmotic Dextrose v2: 100 u2: ml
tf: [15:00:00 12/09/2017] pt: Unit Dose rt: PO fr: Q12H fs: 6, 18 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 100 u1: mg
tf: [18:52:00 14/09/2017] dt: 5649 cu: C-SICU de: MICU
t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: NBP el: 0 cu: C-SICU cg: RN v1: 96 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 42 u1: BPM st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Significant Events el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Rectal st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Temperature F el: 0 cu: C-SICU cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 100 vu: ml
t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd
t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Readmit <48 hrs el: 0 cu: C-SICU cg: RN v1: No st: NotStopd
t0: [21:00:00 10/09/2017] id: Imp Skin Cleanse #2 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: Imp Skin Cleanse #3 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: ImpSkin Character #2 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: ImpSkin Character #3 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: ImpSkin Drain/Amt #3 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: ImpSkin Drain/Amt#2 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: ImpSkin Treatment #2 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: ImpSkin Treatment #3 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: ImpSkin Wound Base#2 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: ImpSkin Wound Base#3 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: ImpSkin Wth/Lth #2 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: ImpSkin Wth/Lth #3 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: Impaired Skin Site#2 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [21:00:00 10/09/2017] id: Impaired Skin Site#3 el: 0 cu: C-SICU cg: -1 st: D/C'd
t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Communication el: 0 cu: C-SICU cg: RN v1: Verbal st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: GCS Total el: 0 cu: C-SICU cg: RN v1: 14 u1: points st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Lethargic st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Crackles st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Tachypneic st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Speech el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Other/Remarks v2: Cloudy st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [21:15:00 10/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [21:15:00 10/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:15:00 10/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:15:00 10/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [21:15:00 10/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:15:00 10/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [21:15:00 10/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [21:15:00 10/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [21:15:00 10/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [21:15:00 10/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [21:15:00 10/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:15:00 10/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 38 u1: BPM st: NotStopd t0: [21:15:00 10/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:15:00 10/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 10/09/2017] tf: [05:00:00 11/09/2017] dt: 480 id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [21:00:00 10/09/2017] tf: [11:00:00 11/09/2017] dt: 840 id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [21:00:00 10/09/2017] tf: [11:00:00 11/09/2017] dt: 840 id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [21:00:00 10/09/2017] tf: [13:00:00 12/09/2017] dt: 2400 id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 14 st: NotStopd t0: [21:00:00 10/09/2017] tf: [13:00:00 12/09/2017] dt: 2400 id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Wrist v2: 22 gauge st: NotStopd t0: [21:00:00 10/09/2017] tf: [11:00:00 11/09/2017] dt: 840 id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd
t0: [21:30:00 10/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [21:30:00 10/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:30:00 10/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:30:00 10/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [21:30:00 10/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:30:00 10/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [21:30:00 10/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [21:30:00 10/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [21:30:00 10/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [21:30:00 10/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [21:30:00 10/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:30:00 10/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 37 u1: BPM st: NotStopd t0: [21:30:00 10/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:30:00 10/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 113 vo: 125 vu: ml
t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [21:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5632 id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd
id: Levophed-k el: 100 cu: C-SICU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions am: 4 du: mcgkgmin rt: IV Drip
tf: [01:00:00 11/09/2017] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Glargine v1: 23 u1: UNIT
id: D5W el: 1 cu: C-SICU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [22:00:00 10/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 10/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 10/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 10/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [22:00:00 10/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 10/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [22:00:00 10/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 46.6667 u1: mmHg st: NotStopd t0: [22:00:00 10/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:00:00 10/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [22:00:00 10/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [22:00:00 10/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 10/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [22:00:00 10/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 10/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5572 id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 500 vu: ml t0: [22:00:00 10/09/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 113 vo: 125 vu: ml t0: [22:00:00 10/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 20 vu: ml
t0: [22:42:00 10/09/2017] id: BSA el: 1033 cu: C-SICU cg: -1 t0: [22:42:00 10/09/2017] id: Admit Wt el: 1032 cu: C-SICU cg: -1 v1: 64 u1: kg t0: [22:42:00 10/09/2017] id: Allergy 1 el: 1020 cu: C-SICU cg: -1 v1: No Known Drug Allergies t0: [22:42:00 10/09/2017] id: Diagnosis/op el: 1023 cu: C-SICU cg: -1 v1: GASTROPARESIS J-TUBE PLACEMENT t0: [22:42:00 10/09/2017] id: Service el: 1026 cu: C-SICU cg: -1 v1: MED t0: [22:42:00 10/09/2017] id: Admit Ht el: 1034 cu: C-SICU cg: -1 t0: [22:42:00 10/09/2017] id: Readmission el: 1014 cu: C-SICU cg: -1 t0: [22:42:00 10/09/2017] id: Marital Status el: 1006 cu: C-SICU cg: -1 v1: M t0: [22:42:00 10/09/2017] id: Religion el: 1000 cu: C-SICU cg: -1 v1: RCA t0: [22:42:00 10/09/2017] id: Allergy 2 el: 1021 cu: C-SICU cg: -1 t0: [22:42:00 10/09/2017] id: Ext el: 1010 cu: C-SICU cg: -1 t0: [22:42:00 10/09/2017] id: PIN el: 1012 cu: C-SICU cg: -1 t0: [22:42:00 10/09/2017] id: Allergy 3 el: 1022 cu: C-SICU cg: -1
t0: [23:00:00 10/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 10/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:00:00 10/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:00:00 10/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [23:00:00 10/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 10/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 117 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [23:00:00 10/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [23:00:00 10/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [23:00:00 10/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [23:00:00 10/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [23:00:00 10/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 10/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 36 u1: BPM st: NotStopd t0: [23:00:00 10/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 10/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 59 rs: Manual st: NotStopd
t0: [22:50:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5522 id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [22:50:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5522 id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [22:50:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5522 id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [22:50:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5522 id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [22:50:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5522 id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 145 u1: mmHg rs: Final st: NotStopd t0: [22:50:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5522 id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.37 rs: Final st: NotStopd
t0: [22:50:00 10/09/2017] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 53 rs: Final st: NotStopd t0: [22:50:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5522 id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 53 rs: Final st: NotStopd t0: [22:50:00 10/09/2017] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.09 rs: Final st: NotStopd
tf: [22:00:00 12/09/2017] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Norepinephrine v1: 4 u1: mg m2: D5W v2: 250 u2: ml tf: [18:00:00 29/09/2017] pt: Unit Dose rt: IV fr: QD:PRN m1: Sodium Chloride 0.9% Flush v1: 3 u1: ml
t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 481 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 13 rs: Final st: NotStopd
t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 31 u1: % rs: Final st: NotStopd
t0: [23:15:00 10/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [23:15:00 10/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:15:00 10/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:15:00 10/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [23:15:00 10/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:15:00 10/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [23:15:00 10/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 62.3333 u1: mmHg st: NotStopd t0: [23:15:00 10/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [23:15:00 10/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [23:15:00 10/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [23:15:00 10/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:15:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5497 id: Procedures el: 0 cu: C-SICU cg: RN v1: Line Placement st: NotStopd t0: [23:15:00 10/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 40 u1: BPM st: NotStopd t0: [23:15:00 10/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:15:00 10/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:15:00 10/09/2017] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd
t0: [23:15:00 10/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 500 vu: ml
t0: [21:50:00 10/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [21:50:00 10/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [21:50:00 10/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:50:00 10/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [21:50:00 10/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 47 u1: mmHg st: NotStopd t0: [21:50:00 10/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [21:50:00 10/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [21:50:00 10/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [21:50:00 10/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:50:00 10/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [21:50:00 10/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:50:00 10/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:50:00 10/09/2017] tf: [03:30:00 11/09/2017] dt: 340 id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 10/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:30:00 10/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [23:30:00 10/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:30:00 10/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:30:00 10/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [23:30:00 10/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:30:00 10/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 100 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [23:30:00 10/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [23:30:00 10/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [23:30:00 10/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [23:30:00 10/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [23:30:00 10/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:30:00 10/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 43 u1: BPM st: NotStopd t0: [23:30:00 10/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:30:00 10/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: BUN el: 0 cu: C-SICU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.2 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.2 rs: Final st: NotStopd
t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 124 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 47 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 152 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 124 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 47 rs: Final st: NotStopd t0: [22:36:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5536 id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 152 rs: Final st: NotStopd
t0: [23:45:00 10/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 45 rs: Manual st: NotStopd
io: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ra: 125 ru: ml/hr
t0: [00:00:00 11/09/2017] id: D5W 100.0ml IV Infusions el: 1 cu: C-SICU cg: -1 ai: 105 vo: 0 st: D/C'd t0: [00:00:00 11/09/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: -1 ai: 107 vo: 0 st: D/C'd t0: [00:00:00 11/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: -1 ai: 110 vo: 0 st: D/C'd
id: D5/.45NS el: 1 cu: C-SICU cg: RN io: D5/.45NS IV Infusions du: ml rt: Intravenous Push
t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 16.129 u1: ml/cmH st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 16 st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 14 u1: L/min st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 36 u1: cmH2O st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 99 u1: % st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5452 id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [00:00:00 11/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:00:00 11/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [00:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [00:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [00:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [00:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [00:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 10/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 500 vu: ml t0: [23:00:00 10/09/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 113 vo: 125 vu: ml t0: [23:00:00 10/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 15 vu: ml t0: [00:00:00 11/09/2017] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 113 vo: 125 vu: ml
t0: [23:00:00 10/09/2017] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 15 cv: 15 ap: none t0: [23:00:00 10/09/2017] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 610 cv: 610 ap: none t0: [23:00:00 10/09/2017] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 625 cv: 1375 ap: none t0: [23:00:00 10/09/2017] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 625 cv: 1375 ap: none t0: [23:00:00 10/09/2017] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 15 cv: 135 ap: none t0: [23:00:00 10/09/2017] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 610 cv: 1240 ap: none t0: [23:00:00 10/09/2017] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 15 cv: 135 ap: none t0: [23:00:00 10/09/2017] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 610 cv: 1240 ap: none
t0: [00:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 25 vu: ml t0: [01:00:00 11/09/2017] tf: [13:00:00 11/09/2017] dt: 720 id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 125 vu: ml t0: [01:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 40 vu: ml
tf: [00:00:00 12/09/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 1 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [00:00:00 12/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 1 dn: 1 m1: Calcium Gluconate v1: 2 u1: gm tf: [23:00:00 12/09/2017] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Fentanyl Citrate v1: 2500 u1: mcg m2: D5W v2: 250 u2: ml tf: [23:00:00 12/09/2017] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Midazolam HCl v1: 50 u1: mg m2: D5W v2: 50 u2: ml
t0: [01:04:00 11/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [01:04:00 11/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [01:04:00 11/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [01:04:00 11/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [01:04:00 11/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 133 u1: mmHg rs: Final st: NotStopd t0: [01:04:00 11/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd
t0: [02:00:00 11/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd
tf: [01:00:00 11/09/2017] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT tf: [12:00:00 11/09/2017] pt: IV Piggyback rt: IV fr: Q8H fs: 2, 10, 18 dn: 3 m1: Metronidazole v1: 500 u1: mg m2: NS v2: 100 u2: ml tf: [12:00:00 11/09/2017] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT tf: [01:00:00 12/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 2 dn: 1 m1: Dextrose 50% v1: 75 u1: gm
id: Gastric Meds el: 1 cu: C-SICU cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube id: Free Water Bolus el: 1 cu: C-SICU cg: RN io: Free Water Bolus PO/Gastric du: ml rt: Nasogastric id: GT Flush el: 1 cu: C-SICU cg: RN io: GT Flush PO/Gastric du: ml rt: Nasogastric
t0: [22:15:00 10/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [22:15:00 10/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [22:15:00 10/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [22:15:00 10/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [22:15:00 10/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:15:00 10/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [22:15:00 10/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [22:15:00 10/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:15:00 10/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [22:15:00 10/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:15:00 10/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:30:00 10/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [22:30:00 10/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [22:30:00 10/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [22:30:00 10/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 50.3333 u1: mmHg st: NotStopd t0: [22:30:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5542 id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [22:30:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5542 id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 47 u1: mmHg st: NotStopd t0: [22:30:00 10/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:30:00 10/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [22:30:00 10/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [22:30:00 10/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:30:00 10/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [22:30:00 10/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:30:00 10/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:45:00 10/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [22:45:00 10/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [22:45:00 10/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [22:45:00 10/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 54.3333 u1: mmHg st: NotStopd t0: [22:45:00 10/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 119 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [22:45:00 10/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [22:45:00 10/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:45:00 10/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [22:45:00 10/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [22:45:00 10/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:45:00 10/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 38 u1: BPM st: NotStopd t0: [22:45:00 10/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:45:00 10/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 10/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [23:00:00 10/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [23:15:00 10/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 97 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [23:15:00 10/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [23:30:00 10/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [23:30:00 10/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [23:45:00 10/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [23:45:00 10/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [23:45:00 10/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 103 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [23:45:00 10/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [23:45:00 10/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [23:45:00 10/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [23:45:00 10/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [23:45:00 10/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [23:45:00 10/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [23:45:00 10/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:45:00 10/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 40 u1: BPM st: NotStopd t0: [23:45:00 10/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:45:00 10/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 89 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [00:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [00:15:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [00:15:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [00:15:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [00:15:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [00:15:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [00:15:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [00:15:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [00:15:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:15:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:15:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 94 u1: % st: NotStopd t0: [00:15:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:30:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [00:30:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [00:30:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 94 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [00:30:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [00:30:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [00:30:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [00:30:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [00:30:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:30:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:30:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:30:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:45:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [00:45:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [00:45:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:45:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [00:45:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [00:45:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [00:45:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [00:45:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:45:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:45:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:45:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [01:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [01:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [01:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [01:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [01:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:15:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [01:15:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [01:15:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [01:15:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [01:15:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:15:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [01:15:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [01:15:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:15:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:15:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:15:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:30:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [01:30:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [01:30:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [01:30:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [01:30:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:30:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [01:30:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [01:30:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:30:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:30:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:30:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:45:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [01:45:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [01:45:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [01:45:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [01:45:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [01:45:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [01:45:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [01:45:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:45:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [01:45:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:45:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [02:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 111 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [02:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [02:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [02:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [02:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [02:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:15:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [02:15:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [02:15:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 116 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [02:15:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [02:15:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [02:15:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [02:15:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [02:15:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:15:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:15:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:15:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:30:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [02:30:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [02:30:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 118 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [02:30:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [02:30:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [02:30:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [02:30:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [02:30:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:30:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:30:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:30:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 11/09/2017] id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 125 vu: ml t0: [02:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 10 vu: ml
t0: [22:15:00 10/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:30:00 10/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:45:00 10/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 10/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:15:00 10/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:30:00 10/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:45:00 10/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:15:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:30:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:45:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:15:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:30:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:45:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:15:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:30:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 11/09/2017] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Intubated st: NotStopd t0: [00:30:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:30:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:30:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:30:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5422 id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd t0: [01:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:30:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:30:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:30:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 11/09/2017] id: Significant Events el: 0 cu: C-SICU cg: RN st: NotStopd t0: [02:00:00 11/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Rectal st: NotStopd t0: [02:30:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5302 id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [02:30:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:30:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:30:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:30:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5302 id: Radiologic Study el: 0 cu: C-SICU cg: RN v1: Chest Xray st: NotStopd
t0: [01:45:00 11/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml t0: [02:00:00 11/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 250 vu: ml t0: [02:00:00 11/09/2017] tf: [23:00:00 11/09/2017] dt: 1260 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 24 vu: ml
t0: [00:00:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 45 rs: Manual st: NotStopd t0: [01:00:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 88 rs: Manual st: NotStopd t0: [02:00:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 89 rs: Manual st: NotStopd
t0: [22:00:00 10/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 10/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 10/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 10/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [22:00:00 10/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [22:00:00 10/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 10/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 10/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [22:00:00 10/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 10/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 10/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 10/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 10/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [01:00:00 11/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 11/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 11/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 11/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [01:00:00 11/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [01:00:00 11/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [01:00:00 11/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 11/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [01:00:00 11/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd
t0: [21:00:00 10/09/2017] tf: [05:00:00 11/09/2017] dt: 480 id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 10/09/2017] tf: [09:00:00 11/09/2017] dt: 600 id: INV Line#1 D/C Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [23:00:00 10/09/2017] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [23:00:00 10/09/2017] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [23:00:00 10/09/2017] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [23:00:00 10/09/2017] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 14 st: NotStopd t0: [23:00:00 10/09/2017] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Wrist v2: 22 gauge st: NotStopd t0: [23:00:00 10/09/2017] tf: [13:00:00 12/09/2017] dt: 2280 id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 10/09/2017] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV#2 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [23:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5512 id: INV#3 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd
t0: [00:00:00 11/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [00:00:00 11/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 11/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 38.8889 u1: Deg. C st: NotStopd t0: [02:00:00 11/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 102 u1: Deg. F st: NotStopd t0: [03:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [03:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [03:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [03:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 147 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [03:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5272 id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [03:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [03:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [03:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [03:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [03:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 11/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml t0: [03:00:00 11/09/2017] id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 125 vu: ml t0: [03:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 24 vu: ml t0: [03:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 45 vu: ml
t0: [03:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:15:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [03:15:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [03:15:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [03:15:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 145 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:15:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [03:15:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [03:15:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [03:15:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [03:15:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [03:15:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:15:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [03:15:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:15:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:30:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [03:30:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [03:30:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [03:30:00 11/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 144 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [03:30:00 11/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 84.6667 u1: mmHg st: NotStopd t0: [03:30:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 158 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:30:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [03:30:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [03:30:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [03:30:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [03:30:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [03:30:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:30:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:30:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:30:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:15:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:30:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [04:00:00 11/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [04:00:00 11/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 11/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 11/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 11/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 11/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 11/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 11/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 16 st: NotStopd t0: [04:00:00 11/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 11/09/2017] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 11/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [04:00:00 11/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 11/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [04:00:00 11/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 11/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [04:00:00 11/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 11/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [04:00:00 11/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 11/09/2017] id: Tidal Volume (Spont) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 11/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 11/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 11/09/2017] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [03:45:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [03:45:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [03:45:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [03:45:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 106 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [03:45:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [03:45:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [03:45:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [03:45:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [03:45:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [03:45:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:45:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:45:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:45:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:45:00 11/09/2017] tf: [00:00:00 12/09/2017] dt: 1215 id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 1 u1: mmHg st: NotStopd t0: [04:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [04:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 113 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [04:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [04:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [04:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [04:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [04:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [04:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [04:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 128 rs: Manual st: NotStopd t0: [04:15:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [04:15:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [04:15:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [04:15:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 108 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [04:15:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [04:15:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [04:15:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [04:15:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [04:15:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [04:15:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:15:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [04:15:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [04:15:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 11/09/2017] id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 125 vu: ml t0: [04:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 35 vu: ml
t0: [04:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:15:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:05:00 11/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.4 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.4 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5207 id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 28.2 u1: % rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 9.5 u1: gm/dl rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 495 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5207 id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.01 u1: /mic l rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.4 rs: Final st: NotStopd
t0: [04:35:00 11/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.33 rs: Final st: NotStopd t0: [04:35:00 11/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -6 rs: Final st: NotStopd t0: [04:35:00 11/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [04:35:00 11/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [04:35:00 11/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 82 u1: mmHg rs: Final st: NotStopd t0: [04:35:00 11/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.33 rs: Final st: NotStopd t0: [04:35:00 11/09/2017] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.26 rs: Final st: NotStopd
id: KCL el: 100 cu: C-SICU cg: RN io: D5W 50.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
t0: [05:00:00 11/09/2017] id: INV#1Chg o/Wire Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: INV Line#1 Site Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: INV Line#1 Zero/Cal el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: INV Line#1InsertDate el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: INV Line#1SiteAppear el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: INV#1 WaveformAppear el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: Imp Skin Cleanse #1 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: ImpSkin Character #1 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: ImpSkin Drain/Amt#1 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: ImpSkin Treatment #1 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: ImpSkin Wound Base#1 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: ImpSkin Wth/Lth #1 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: Impaired Skin Site#1 el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [05:00:00 11/09/2017] id: INV#1 Dsg Change el: 0 cu: C-SICU cg: -1 st: D/C'd
id: D5W el: 1 cu: C-SICU cg: RN io: D5W 50.0ml IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [04:05:00 11/09/2017] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 120 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 149 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 120 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 149 rs: Final st: NotStopd
t0: [05:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [05:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [05:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [05:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 113 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [05:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [05:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [05:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [05:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [05:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [05:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [05:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 11/09/2017] id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 125 vu: ml t0: [05:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 30 vu: ml
t0: [05:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:05:00 11/09/2017] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 121 rs: Final st: NotStopd t0: [04:05:00 11/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 121 rs: Final st: NotStopd
t0: [23:00:00 10/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: Verbal st: NotStopd t0: [23:00:00 10/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [23:00:00 10/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [23:00:00 10/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 15 u1: points st: NotStopd t0: [23:00:00 10/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [23:00:00 10/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [23:00:00 10/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Oriented x 3 st: NotStopd t0: [23:00:00 10/09/2017] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [23:00:00 10/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 10/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [23:00:00 10/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 5 Oriented st: NotStopd t0: [03:00:00 11/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 11/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 11/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5272 id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 11/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [03:00:00 11/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [03:00:00 11/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [03:00:00 11/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 11/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [03:00:00 11/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 11/09/2017] id: INV Line#1 Type/Site el: 0 cu: C-SICU cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [04:00:00 11/09/2017] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 11/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 11/09/2017] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 11/09/2017] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/09/2017] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 11/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 11/09/2017] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 11/09/2017] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/09/2017] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 11/09/2017] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 11/09/2017] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 11/09/2017] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [04:00:00 11/09/2017] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 14 st: NotStopd t0: [04:00:00 11/09/2017] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Wrist v2: 22 gauge st: NotStopd t0: [04:00:00 11/09/2017] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/09/2017] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/09/2017] id: INV#2 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 11/09/2017] id: INV#3 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd
t0: [00:00:00 11/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 11/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 11/09/2017] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 11/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [00:00:00 11/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 11/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 11/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 4 u1: points st: NotStopd t0: [00:00:00 11/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [00:00:00 11/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 11/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 11/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 11/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 11/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 11/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 11/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 11/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 11/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 11/09/2017] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: PressSoreWoundBase#3 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 11/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 11/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 11/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 11/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 11/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Tachypneic st: NotStopd t0: [00:00:00 11/09/2017] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: Skin Color el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 11/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 11/09/2017] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [00:00:00 11/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 11/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 11/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [04:00:00 11/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 11/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 11/09/2017] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 11/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [04:00:00 11/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 11/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [04:00:00 11/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 4 u1: points st: NotStopd t0: [04:00:00 11/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [04:00:00 11/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 11/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 11/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 11/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 11/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 11/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 11/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 11/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 11/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 11/09/2017] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 11/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [04:00:00 11/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [04:00:00 11/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 11/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 11/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 11/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 11/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 11/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 11/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 11/09/2017] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [04:00:00 11/09/2017] id: Skin Color el: 0 cu: C-SICU cg: RN v1: Pale st: NotStopd t0: [04:00:00 11/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 11/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Hot v2: Diaphoretic st: NotStopd t0: [04:00:00 11/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 11/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 11/09/2017] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [04:00:00 11/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 11/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 11/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [22:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5572 id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Visited st: NotStopd t0: [22:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5572 id: Support Systems el: 0 cu: C-SICU cg: RN v1: Many Supports st: NotStopd t0: [22:00:00 10/09/2017] tf: [18:52:00 14/09/2017] dt: 5572 id: Behavior el: 0 cu: C-SICU cg: RN v1: Calm st: NotStopd t0: [23:00:00 10/09/2017] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Fam Talked to MD st: NotStopd t0: [00:00:00 11/09/2017] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Fam Talked to RN st: NotStopd t0: [04:00:00 11/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Many Supports st: NotStopd t0: [04:00:00 11/09/2017] id: Behavior el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd
t0: [06:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [06:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [06:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [06:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 117 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [06:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [06:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [06:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [06:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [06:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [06:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [06:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [05:00:00 11/09/2017] id: D5W 50.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 109 vo: 50 vu: ml t0: [06:00:00 11/09/2017] id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 125 vu: ml t0: [06:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 35 vu: ml
t0: [06:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5032 id: RSBI (<100) el: 0 cu: C-SICU cg: RRT v1: 130.769 u1: units st: NotStopd t0: [07:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5032 id: RSBI (<200) el: 0 cu: C-SICU cg: RRT v1: 130.769 u1: units st: NotStopd t0: [07:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5032 id: Spon RR (Mech.) el: 0 cu: C-SICU cg: RRT v1: 34 u1: BPM st: NotStopd t0: [07:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5032 id: Spon. Vt (L) (Mech.) el: 0 cu: C-SICU cg: RRT v1: 0.26 u1: L st: NotStopd
id: Fentanyl el: 100 cu: C-SICU cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions am: 2500 du: mcghr rt: IV Drip
id: .9% Normal Saline el: 1 cu: C-SICU cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [07:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [07:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [07:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [07:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 107 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [07:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [07:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [07:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [07:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [07:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [07:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [07:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5332 id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [02:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5332 id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [07:00:00 11/09/2017] id: NBP el: 0 cu: C-SICU cg: RN v1: 125 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [07:00:00 11/09/2017] id: NBP Mean el: 0 cu: C-SICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [08:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [08:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [08:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [08:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [08:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4972 id: PresSoreStage/Heal#1 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: No st: NotStopd t0: [08:00:00 11/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4972 id: PressSore Wth/Lth #1 el: 0 cu: C-SICU cg: RN v1: 6 cm v2: 5 cm st: NotStopd t0: [08:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4972 id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Black st: NotStopd t0: [08:00:00 11/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 11/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [08:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [08:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [08:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:00:00 11/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 11/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 11/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Many Supports st: NotStopd t0: [08:00:00 11/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 11/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.7222 u1: Deg. C st: NotStopd t0: [08:00:00 11/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.9 u1: Deg. F st: NotStopd t0: [08:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 11/09/2017] id: Behavior el: 0 cu: C-SICU cg: RN v1: Anxious st: NotStopd
t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 9.6 vu: ml t0: [05:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 9.6 vu: ml t0: [06:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 9.6 vu: ml t0: [07:00:00 11/09/2017] id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 125 vu: ml t0: [07:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 12 vu: ml t0: [08:00:00 11/09/2017] id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 125 vu: ml t0: [08:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 12 vu: ml t0: [08:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 50 vu: ml
t0: [08:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 11/09/2017] id: INV Line#1 D/C Date el: 0 cu: C-SICU cg: -1 st: D/C'd
tf: [08:00:00 12/09/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 9 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [08:00:00 12/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 9 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm tf: [08:00:00 12/09/2017] pt: Unit Dose rt: PO fr: ONCE fs: 9 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
id: Lactated Ringers el: 1 cu: C-SICU cg: RN io: Lactated Ringers IV Infusions du: ml rt: Intravenous Push
t0: [04:00:00 11/09/2017] id: INV Line#1 D/C Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 16 st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: Previous Weight el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: Weight Change el: 0 cu: C-SICU cg: RN v1: 0 u1: kg st: NotStopd t0: [04:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5212 id: Daily Weight el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [04:15:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [05:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [06:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [07:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [08:00:00 11/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: Nodding st: NotStopd t0: [08:00:00 11/09/2017] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 11/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 11/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [08:00:00 11/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [08:00:00 11/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 11/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 11/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 11/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [08:00:00 11/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 11/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 11/09/2017] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 11/09/2017] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 11/09/2017] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/09/2017] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 11/09/2017] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 11/09/2017] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 11/09/2017] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 11/09/2017] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 11/09/2017] id: IV #1 Insert Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 11/09/2017] id: IV #1 Site/Size el: 0 cu: C-SICU cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [08:00:00 11/09/2017] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 14 st: NotStopd t0: [08:00:00 11/09/2017] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Wrist v2: 22 gauge st: NotStopd t0: [08:00:00 11/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 11/09/2017] id: IV Site Appear #1 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/09/2017] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 11/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 11/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 11/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 11/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 11/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 11/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Unable to Assess st: NotStopd t0: [08:00:00 11/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 11/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [08:00:00 11/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [08:00:00 11/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 11/09/2017] id: INV#2 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 11/09/2017] id: INV#3 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 11/09/2017] id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [08:00:00 11/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 11/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 11/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 11/09/2017] tf: [20:00:00 12/09/2017] dt: 2160 id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 11/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 11/09/2017] tf: [20:00:00 12/09/2017] dt: 2160 id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4972 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4972 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4972 id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 11/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 11/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [08:00:00 11/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 11/09/2017] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 11/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 11/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 11/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [09:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [09:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [09:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 104 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [09:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [09:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [09:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [09:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [09:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4972 id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 228 vo: 90 vu: ml t0: [09:00:00 11/09/2017] id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 125 vu: ml t0: [09:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 12 vu: ml t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [09:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 25 vu: ml
t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:15:00 11/09/2017] id: Previous Weight el: 0 cu: C-SICU cg: RRT v1: 64 u1: kg st: NotStopd t0: [05:00:00 11/09/2017] id: Previous Weight el: 0 cu: C-SICU cg: RRT v1: 64 u1: kg st: NotStopd t0: [06:00:00 11/09/2017] id: Previous Weight el: 0 cu: C-SICU cg: RRT v1: 64 u1: kg st: NotStopd t0: [07:00:00 11/09/2017] id: Previous Weight el: 0 cu: C-SICU cg: RRT v1: 64 u1: kg st: NotStopd t0: [08:00:00 11/09/2017] id: Previous Weight el: 0 cu: C-SICU cg: RRT v1: 64 u1: kg st: NotStopd t0: [09:00:00 11/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [09:00:00 11/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: HIGH MINUTE VENT. el: 0 cu: C-SICU cg: RRT v1: 15 t0: [09:00:00 11/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [09:00:00 11/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [09:00:00 11/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:4.0 st: NotStopd t0: [09:00:00 11/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [09:00:00 11/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [09:00:00 11/09/2017] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [09:00:00 11/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 16 st: NotStopd t0: [09:00:00 11/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [09:00:00 11/09/2017] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:00:00 11/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.4 u1: L/min st: NotStopd t0: [09:00:00 11/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:00:00 11/09/2017] tf: [20:00:00 11/09/2017] dt: 660 id: Peak Flow el: 0 cu: C-SICU cg: RRT u1: L/m st: NotStopd t0: [09:00:00 11/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [09:00:00 11/09/2017] tf: [20:00:00 11/09/2017] dt: 660 id: Plateau-Off el: 0 cu: C-SICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [09:00:00 11/09/2017] id: Plateau-Off el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [09:00:00 11/09/2017] id: Previous Weight el: 0 cu: C-SICU cg: RRT v1: 64 u1: kg st: NotStopd t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: Remote Alarm el: 0 cu: C-SICU cg: RRT v1: No st: NotStopd t0: [09:00:00 11/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [09:00:00 11/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [09:00:00 11/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [09:00:00 11/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 11/09/2017] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 11/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [09:00:00 11/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [09:00:00 11/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [09:00:00 11/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [09:00:00 11/09/2017] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4972 id: PresSoreStage/Heal#2 el: 0 cu: C-SICU cg: RN v1: Through Dermis v2: No st: NotStopd t0: [08:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4972 id: PressSore Wth/Lth #2 el: 0 cu: C-SICU cg: RN v1: 4 cm v2: 3 cm st: NotStopd t0: [08:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4972 id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Black st: NotStopd t0: [08:00:00 11/09/2017] id: Skin Color el: 0 cu: C-SICU cg: RN v1: Flushed st: NotStopd t0: [09:30:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 204 rs: Manual st: NotStopd
t0: [06:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5092 id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 20 vu: ml t0: [06:00:00 11/09/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vu: ml t0: [08:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 20 vu: ml t0: [08:00:00 11/09/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vu: ml t0: [09:00:00 11/09/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: C-SICU cg: RN ai: 107 vu: ml
t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd
t0: [10:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [10:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [10:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [10:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 112 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [10:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [10:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [10:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [10:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [10:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [10:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 11/09/2017] id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 125 vu: ml t0: [10:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 12 vu: ml t0: [10:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [10:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 28 vu: ml
t0: [10:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 5092 id: Daily Wake Up el: 1 cu: C-SICU cg: RN v1: No/Not Sedated st: NotStopd
t0: [11:00:00 11/09/2017] id: IV #1 Insert Date el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [11:00:00 11/09/2017] id: IV #1 Site/Size el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [11:00:00 11/09/2017] id: IV Site Appear #1 el: 0 cu: C-SICU cg: -1 st: D/C'd
id: TF Residual el: 1 cu: C-SICU cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [11:00:00 11/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [11:00:00 11/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 11/09/2017] id: HIGH MINUTE VENT. el: 0 cu: C-SICU cg: RRT v1: 15 t0: [11:00:00 11/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:00:00 11/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [11:00:00 11/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [11:00:00 11/09/2017] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:4.0 st: NotStopd t0: [11:00:00 11/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [11:00:00 11/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [11:00:00 11/09/2017] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [11:00:00 11/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 16 st: NotStopd t0: [11:00:00 11/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [11:00:00 11/09/2017] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [11:00:00 11/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 10.6 u1: L/min st: NotStopd t0: [11:00:00 11/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:00:00 11/09/2017] id: Peak Flow el: 0 cu: C-SICU cg: RRT u1: L/m st: NotStopd t0: [11:00:00 11/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [11:00:00 11/09/2017] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [11:00:00 11/09/2017] id: Plateau-Off el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [11:00:00 11/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [11:00:00 11/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [11:00:00 11/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [11:00:00 11/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [11:00:00 11/09/2017] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [11:00:00 11/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [11:00:00 11/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [11:00:00 11/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [11:00:00 11/09/2017] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 11/09/2017] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 11/09/2017] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [09:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4912 id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [11:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 1 u1: mmHg st: NotStopd t0: [11:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: IV #1 Reason DC'D el: 0 cu: C-SICU cg: RN v1: Infiltrated st: NotStopd t0: [11:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [11:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [11:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: IV #1 D/C Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 16 st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 98 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [11:00:00 11/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [11:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [11:00:00 11/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [11:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 11/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [11:00:00 11/09/2017] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [11:00:00 11/09/2017] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [11:00:00 11/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [11:00:00 11/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [11:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [11:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [11:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [11:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [11:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 11/09/2017] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [11:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [11:00:00 11/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [11:00:00 11/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Many Supports st: NotStopd t0: [11:00:00 11/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [11:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 11/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml
t0: [11:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 11/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd
t0: [10:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 20 vu: ml t0: [11:00:00 11/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml t0: [12:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 20 vu: ml t0: [12:00:00 11/09/2017] id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 250 vu: ml t0: [12:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 24 vu: ml t0: [12:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml
t0: [11:00:00 11/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [12:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [12:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [12:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 11/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 11/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 11/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [12:00:00 11/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [12:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 134 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [12:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [12:00:00 11/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4732 id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [12:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [12:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [12:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [12:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [12:00:00 11/09/2017] id: Skin Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 11/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Rectal st: NotStopd t0: [12:00:00 11/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 37.7222 u1: Deg. C st: NotStopd t0: [12:00:00 11/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 99.9 u1: Deg. F st: NotStopd t0: [12:00:00 11/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [12:00:00 11/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 11/09/2017] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 208 rs: Manual st: NotStopd
t0: [12:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 60 vu: ml
t0: [12:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:21:00 11/09/2017] id: BSA el: 1033 cu: C-SICU cg: -1 t0: [12:21:00 11/09/2017] id: Admit Wt el: 1032 cu: C-SICU cg: -1 v1: 64 u1: kg t0: [12:21:00 11/09/2017] id: Allergy 1 el: 1020 cu: C-SICU cg: -1 v1: No Known Drug Allergies t0: [12:21:00 11/09/2017] id: Diagnosis/op el: 1023 cu: C-SICU cg: -1 v1: GASTROPARESIS J-TUBE PLACEMENT t0: [12:21:00 11/09/2017] id: Service el: 1026 cu: C-SICU cg: -1 v1: MED t0: [12:21:00 11/09/2017] id: Admit Ht el: 1034 cu: C-SICU cg: -1 t0: [12:21:00 11/09/2017] id: Readmission el: 1014 cu: C-SICU cg: -1 t0: [12:21:00 11/09/2017] id: Marital Status el: 1006 cu: C-SICU cg: -1 v1: M t0: [12:21:00 11/09/2017] id: Religion el: 1000 cu: C-SICU cg: -1 v1: RCA t0: [12:21:00 11/09/2017] id: Allergy 2 el: 1021 cu: C-SICU cg: -1 t0: [12:21:00 11/09/2017] id: Ext el: 1010 cu: C-SICU cg: -1 t0: [12:21:00 11/09/2017] id: PIN el: 1012 cu: C-SICU cg: -1 t0: [12:21:00 11/09/2017] id: Allergy 3 el: 1022 cu: C-SICU cg: -1
id: KCL el: 100 cu: C-SICU cg: RN io: D5/.45NS 1000.0ml IV Infusions am: 40 du: mEq rt: Intravenous Push
t0: [13:00:00 11/09/2017] id: Venous CO2(Calc) VBG'S el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 11/09/2017] id: Venous PvCO2 VBG's el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 11/09/2017] id: Venous PvO2 Mixed Venous Gases el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [13:00:00 11/09/2017] id: Venous pH VBG's el: 0 cu: C-SICU cg: -1 st: D/C'd
io: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ra: 150 ru: ml/hr
tf: [09:00:00 13/09/2017] pt: IV Piggyback rt: IV fr: Q8H fs: 6, 14, 22 dn: 3 m1: Hydrocortisone Na Succ. v1: 100 u1: mg m2: Vial v2: 1 u2: VIAL tf: [14:00:00 15/09/2017] pt: IV Piggyback rt: IV fr: Q12H fs: 2, 14 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml tf: [18:00:00 29/09/2017] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Humulin-R Insulin v1: 100 u1: UNIT m2: NS v2: 100 u2: ml tf: [18:00:00 29/09/2017] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride v1: 20 u1: mEq m2: SW v2: 50 u2: ml
id: D5/.45NS el: 1 cu: C-SICU cg: RN io: D5/.45NS 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [13:12:00 11/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.29 rs: Final st: NotStopd t0: [13:12:00 11/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -6 rs: Final st: NotStopd t0: [13:12:00 11/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [13:12:00 11/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [13:12:00 11/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 119 u1: mmHg rs: Final st: NotStopd t0: [13:12:00 11/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.29 rs: Final st: NotStopd
t0: [12:00:00 11/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [13:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [13:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [13:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 131 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [13:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [13:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [13:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [13:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [13:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [13:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 11/09/2017] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [13:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [13:00:00 11/09/2017] tf: [20:00:00 13/09/2017] dt: 3300 id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 1000 vu: ml t0: [13:00:00 11/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vu: ml nb: 1 t0: [13:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 12 vu: ml t0: [13:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml
t0: [13:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [13:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4672 id: VEN0US O2 SAT el: 0 cu: C-SICU cg: RN v1: 80 t0: [14:00:00 11/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd
t0: [13:00:00 11/09/2017] id: D5/.45NS IV Infusions el: 1 cu: C-SICU cg: RN ai: 112 vo: 125 vu: ml st: Stopped t0: [14:00:00 11/09/2017] tf: [13:00:00 12/09/2017] dt: 1380 id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml
t0: [14:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [14:00:00 11/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vu: ml st: Stopped t0: [14:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 12 vu: ml t0: [14:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml
id: Packed RBC's el: 1 cu: C-SICU cg: RN io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [14:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [14:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [14:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [14:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 155 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [14:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [14:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [14:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [14:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [14:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [14:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [14:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 190 rs: Manual st: NotStopd
t0: [14:00:00 11/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 300 vu: ml t0: [14:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 90 vu: ml
t0: [14:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 11/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/09/2017] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal st: NotStopd t0: [12:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4732 id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [11:00:00 11/09/2017] id: Skin Color el: 0 cu: C-SICU cg: RN v1: Flushed st: NotStopd t0: [11:00:00 11/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [11:00:00 11/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Rarely Moist st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: Braden Score el: 0 cu: C-SICU cg: RN v1: 15 u1: number st: NotStopd t0: [11:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4792 id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: No Impairment st: NotStopd t0: [12:00:00 11/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [12:00:00 11/09/2017] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 11/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 11/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [12:00:00 11/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [12:00:00 11/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 11/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 11/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 11/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [12:00:00 11/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 11/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [12:00:00 11/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 11/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 11/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 11/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 11/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 11/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 11/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 11/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Unable to Assess st: NotStopd t0: [12:00:00 11/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken st: NotStopd t0: [12:00:00 11/09/2017] id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 11/09/2017] id: PressSoreWoundBase#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [12:00:00 11/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 11/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 11/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 11/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 11/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 11/09/2017] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal st: NotStopd t0: [12:00:00 11/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 11/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 11/09/2017] id: Stool Color/Consist el: 0 cu: C-SICU cg: RN v1: Brown v2: Loose st: NotStopd t0: [12:00:00 11/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 11/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 11/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd t0: [13:00:00 11/09/2017] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Visited st: NotStopd t0: [13:00:00 11/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Supine st: NotStopd t0: [13:00:00 11/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [13:00:00 11/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Back st: NotStopd t0: [14:00:00 11/09/2017] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [14:00:00 11/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd
t0: [12:00:00 11/09/2017] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Medium
t0: [14:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 11/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: RN v1: 20KCL rs: Manual st: NotStopd t0: [05:00:00 11/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: RN v1: 20KCL rs: Manual st: NotStopd t0: [06:00:00 11/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: RN v1: 20 KCL rs: Manual st: NotStopd t0: [06:00:00 11/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: RN v1: 20 KCL rs: Manual st: NotStopd t0: [14:00:00 11/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: None st: NotStopd t0: [14:45:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4567 id: Blood Products Hematology el: 0 cu: C-SICU cg: 3161 v1: Y rs: Final st: NotStopd
t0: [15:20:00 11/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [15:20:00 11/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [15:20:00 11/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [15:20:00 11/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 16 st: NotStopd t0: [15:20:00 11/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [15:20:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [15:20:00 11/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd
t0: [15:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [15:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [15:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [15:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 146 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [15:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [15:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [15:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [15:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [15:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [15:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:05:00 11/09/2017] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4607 id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 200 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4607 id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 144 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4607 id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 200 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4607 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [14:05:00 11/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 144 rs: Final st: NotStopd
tf: [15:00:00 12/09/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 16 dn: 1 m1: Caspofungin v1: 70 u1: mg m2: NS v2: 250 u2: ml
t0: [16:05:00 11/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 27.7778 u1: ml/cmH st: NotStopd t0: [16:05:00 11/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:05:00 11/09/2017] id: HIGH MINUTE VENT. el: 0 cu: C-SICU cg: RRT v1: 15 t0: [16:05:00 11/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:05:00 11/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [16:05:00 11/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 34 u1: BPM st: NotStopd t0: [16:05:00 11/09/2017] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.3 st: NotStopd t0: [16:05:00 11/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:05:00 11/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:05:00 11/09/2017] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [16:05:00 11/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 16 st: NotStopd t0: [16:05:00 11/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [16:05:00 11/09/2017] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [16:05:00 11/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.8 u1: L/min st: NotStopd t0: [16:05:00 11/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:05:00 11/09/2017] id: Peak Flow el: 0 cu: C-SICU cg: RRT u1: L/m st: NotStopd t0: [16:05:00 11/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [16:05:00 11/09/2017] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [16:05:00 11/09/2017] id: Plateau-Off el: 0 cu: C-SICU cg: RRT v1: Yes st: NotStopd t0: [16:05:00 11/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:05:00 11/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [16:05:00 11/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [16:05:00 11/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:05:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:05:00 11/09/2017] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [16:05:00 11/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:05:00 11/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [16:05:00 11/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [16:05:00 11/09/2017] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [16:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [16:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [16:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 136 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [16:00:00 11/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [16:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [16:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [16:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [16:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [16:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [16:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [16:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 20 vu: ml t0: [16:00:00 11/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 700 vu: ml t0: [16:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 19.2 vu: ml t0: [16:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [16:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 180 vu: ml
t0: [16:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:47:00 11/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.29 rs: Final st: NotStopd t0: [16:47:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4445 id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [16:47:00 11/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -8 rs: Final st: NotStopd t0: [16:47:00 11/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [16:47:00 11/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [16:47:00 11/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 136 u1: mmHg rs: Final st: NotStopd t0: [16:47:00 11/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.29 rs: Final st: NotStopd t0: [16:47:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4445 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd
t0: [16:00:00 11/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [16:00:00 11/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/09/2017] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Called st: NotStopd t0: [16:00:00 11/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [16:00:00 11/09/2017] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [16:00:00 11/09/2017] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [16:00:00 11/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 11/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 11/09/2017] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4492 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4492 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 11/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 11/09/2017] id: Skin Color el: 0 cu: C-SICU cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 11/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 11/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 11/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [16:00:00 11/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [16:00:00 11/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [17:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [17:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 11/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 11/09/2017] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [17:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 11/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [17:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [17:00:00 11/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [17:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 11/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [17:00:00 11/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [17:00:00 11/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [17:00:00 11/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [17:00:00 11/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [17:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 75 u1: BPM st: NotStopd t0: [17:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 11/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [17:00:00 11/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [17:00:00 11/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 11/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [17:00:00 11/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [17:00:00 11/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [17:00:00 11/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [17:00:00 11/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [17:00:00 11/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Unable to Assess st: NotStopd t0: [17:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 126 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [17:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [17:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 170 u2: mmHg st: NotStopd t0: [17:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [17:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [17:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [17:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [17:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 11/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: No Movement st: NotStopd t0: [17:00:00 11/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 11/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [17:00:00 11/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [17:00:00 11/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [17:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [17:00:00 11/09/2017] id: Responds to Stimuli el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [17:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 11/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: Intubated/trach st: NotStopd t0: [17:00:00 11/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [17:00:00 11/09/2017] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [17:00:00 11/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 11/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 11/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Present st: NotStopd
t0: [15:00:00 11/09/2017] id: Packed RBC's IV Infusions el: 1 cu: C-SICU cg: RN ai: 117 vu: ml uh: 1 t0: [16:00:00 11/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 228 vo: 30 vu: ml t0: [17:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [17:00:00 11/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [17:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 7.2 vu: ml t0: [17:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [17:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 55 vu: ml
t0: [17:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 11/09/2017] dt: 24 id: Blood Products Total el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 11/09/2017] dt: 24 id: Blood Products Total el: 3 cu: C-SICU cg: RN cv: 0 ap: none
t0: [16:00:00 11/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken st: NotStopd t0: [16:00:00 11/09/2017] id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 11/09/2017] id: PressSoreWoundBase#3 el: 0 cu: C-SICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 11/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [17:00:00 11/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 11/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 11/09/2017] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 11/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 11/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [17:00:00 11/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [17:00:00 11/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [17:00:00 11/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 11/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [17:00:00 11/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [17:00:00 11/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [17:00:00 11/09/2017] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [17:00:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 157 rs: Manual st: NotStopd t0: [17:15:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd
t0: [17:00:00 11/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 250 vu: ml
t0: [16:00:00 11/09/2017] tf: [00:00:00 12/09/2017] dt: 480 id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [17:00:00 11/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:34:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4458 id: LDH Enzymes el: 0 cu: C-SICU cg: 3161 v1: 121 rs: Final st: NotStopd
t0: [18:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [18:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [18:00:00 11/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [18:00:00 11/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [18:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 129 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [18:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [18:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [18:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [18:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [18:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [18:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [18:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [18:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 11/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml t0: [18:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [18:00:00 11/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [18:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 4.8 vu: ml t0: [18:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [18:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 60 vu: ml
t0: [17:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 11/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:30:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 135 rs: Manual st: NotStopd
t0: [18:38:00 11/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [18:38:00 11/09/2017] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [18:38:00 11/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: no data rs: Final st: NotStopd t0: [18:38:00 11/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: no data rs: Final st: NotStopd t0: [18:38:00 11/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [18:38:00 11/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [18:38:00 11/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [18:38:00 11/09/2017] id: Ionized Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.16 rs: Final st: NotStopd t0: [18:38:00 11/09/2017] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.5 rs: Final st: NotStopd
t0: [18:23:00 11/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 30.7 u1: % rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 496 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.25 u1: /mic l rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 14.7 rs: Final st: NotStopd
t0: [17:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4432 id: VEN0US O2 SAT el: 0 cu: C-SICU cg: RN v1: 80 t0: [19:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [19:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [19:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [19:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [19:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 110 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [19:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [19:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [19:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [19:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [19:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [19:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [19:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [19:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [19:00:00 11/09/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vu: ml nb: 1 t0: [19:00:00 11/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [19:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 4.8 vu: ml t0: [19:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [19:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 70 vu: ml
t0: [19:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 11/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:23:00 11/09/2017] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 121 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 u1: mEq/L rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 144 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 121 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.3 u1: mEq/L rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [18:23:00 11/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 144 rs: Final st: NotStopd
t0: [19:45:00 11/09/2017] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [19:45:00 11/09/2017] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1.3 rs: Final st: NotStopd
t0: [19:45:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 94 rs: Manual st: NotStopd t0: [20:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 11/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [20:00:00 11/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [20:00:00 11/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [20:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 11/09/2017] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 11/09/2017] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 11/09/2017] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/09/2017] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 11/09/2017] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 11/09/2017] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/09/2017] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 14 st: NotStopd t0: [20:00:00 11/09/2017] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Wrist v2: 22 gauge st: NotStopd t0: [20:00:00 11/09/2017] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 120 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:00:00 11/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [20:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [20:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 11/09/2017] id: INV#2 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 11/09/2017] id: INV#3 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [20:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [20:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [20:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [20:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [20:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [20:00:00 11/09/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 700 vu: ml t0: [20:00:00 11/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [20:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 2.4 vu: ml t0: [20:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml
t0: [19:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 11/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 11/09/2017] id: Sputum Color/Consist el: 0 cu: C-SICU cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 11/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: Scant st: NotStopd
t0: [20:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 80 vu: ml
t0: [20:00:00 11/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [20:00:00 11/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 11/09/2017] id: HIGH MINUTE VENT. el: 0 cu: C-SICU cg: RRT v1: 20 t0: [20:00:00 11/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 11/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 11/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 11/09/2017] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2.3 st: NotStopd t0: [20:00:00 11/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 11/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 11/09/2017] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [20:00:00 11/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 16 st: NotStopd t0: [20:00:00 11/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 11/09/2017] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 11/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.3 u1: L/min st: NotStopd t0: [20:00:00 11/09/2017] id: Neg Insp Force(>-25) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 11/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 11/09/2017] id: Peak Flow el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 11/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [20:00:00 11/09/2017] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [20:00:00 11/09/2017] id: Plateau-Off el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4252 id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 0 u1: . st: NotStopd t0: [20:00:00 11/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 11/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [20:00:00 11/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [20:00:00 11/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 11/09/2017] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 494 u1: ml/B st: NotStopd t0: [20:00:00 11/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 11/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 11/09/2017] id: Ventilator No. el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [20:00:00 11/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 11/09/2017] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 11/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [17:00:00 11/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [17:00:00 11/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [17:00:00 11/09/2017] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4432 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [17:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4432 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4252 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [17:00:00 11/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 11/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [19:00:00 11/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [19:00:00 11/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [19:00:00 11/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v2: Off st: NotStopd t0: [20:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4252 id: Pain Level/Response el: 0 cu: C-SICU cg: RN st: NotStopd t0: [20:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4252 id: PainLevel Acceptable el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: Nodding st: NotStopd t0: [20:00:00 11/09/2017] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 11/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 11/09/2017] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN st: NotStopd t0: [20:00:00 11/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [20:00:00 11/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 11/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 11/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 11/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [20:00:00 11/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 11/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 11/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 11/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 11/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 11/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 11/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 11/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 11/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 11/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 11/09/2017] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 11/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Unable to Assess st: NotStopd t0: [20:00:00 11/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [20:00:00 11/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [20:00:00 11/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 11/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken st: NotStopd t0: [20:00:00 11/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [20:00:00 11/09/2017] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 11/09/2017] id: PressSoreTreatment#2 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 11/09/2017] id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 11/09/2017] id: PressSoreWoundBase#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [20:00:00 11/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 11/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 11/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 11/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 11/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 11/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 11/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 11/09/2017] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 11/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4252 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 11/09/2017] id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 11/09/2017] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 11/09/2017] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 11/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 11/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 11/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 11/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 11/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 11/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [20:00:00 11/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [20:00:00 11/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [20:00:00 11/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [20:00:00 11/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 11/09/2017] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 11/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 11/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 11/09/2017] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/09/2017] id: Braden Activity el: 0 cu: C-SICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 11/09/2017] id: Braden Frict/Shear el: 0 cu: C-SICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 11/09/2017] id: Braden Mobility el: 0 cu: C-SICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 11/09/2017] id: Braden Moisture el: 0 cu: C-SICU cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 11/09/2017] id: Braden Nutrition el: 0 cu: C-SICU cg: RN v1: Very Poor st: NotStopd t0: [20:00:00 11/09/2017] id: Braden Score el: 0 cu: C-SICU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 11/09/2017] id: Braden SensoryPercep el: 0 cu: C-SICU cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 11/09/2017] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Large
t0: [20:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd
t0: [20:58:00 11/09/2017] id: Lactic Acid Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [20:58:00 11/09/2017] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 1 rs: Final st: NotStopd
t0: [20:00:00 11/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [20:45:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 74 rs: Manual st: NotStopd t0: [21:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [21:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 11/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [21:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [21:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 123 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [21:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [21:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [21:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [21:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [21:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [21:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [21:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [21:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 11/09/2017] tf: [23:00:00 11/09/2017] dt: 180 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [20:45:00 11/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 228 vo: 30 vu: ml t0: [21:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [21:00:00 11/09/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vo: 300 vu: ml t0: [21:00:00 11/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [21:00:00 11/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 2 vu: ml t0: [21:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 2.4 vu: ml t0: [21:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [21:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 70 vu: ml
t0: [20:45:00 11/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [21:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 11/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 11/09/2017] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 150 ap: none t0: [23:00:00 11/09/2017] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 150 ap: none
t0: [21:15:00 11/09/2017] id: Family Communication el: 0 cu: C-SICU cg: RN v1: Family Called st: NotStopd t0: [21:15:00 11/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [21:15:00 11/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [21:15:00 11/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [21:15:00 11/09/2017] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [21:15:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4177 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [21:15:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4177 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [21:15:00 11/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [21:15:00 11/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [21:45:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 80 rs: Manual st: NotStopd t0: [22:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 11/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [22:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [22:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [22:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 117 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [22:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [22:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [22:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [22:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [22:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [22:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [22:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [22:00:00 11/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [22:00:00 11/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 3 vu: ml t0: [22:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 2.4 vu: ml t0: [22:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [22:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 80 vu: ml
t0: [22:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 11/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [01:00:00 11/09/2017] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Glargine v1: 23 u1: UNIT tf: [12:00:00 11/09/2017] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Glargine v1: 0 u1: UNIT
t0: [22:06:00 11/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [22:06:00 11/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [22:06:00 11/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [22:06:00 11/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 29 u1: mmHg rs: Final st: NotStopd t0: [22:06:00 11/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 142 u1: mmHg rs: Final st: NotStopd t0: [22:06:00 11/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.39 rs: Final st: NotStopd
t0: [19:00:00 11/09/2017] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [22:00:00 11/09/2017] id: PainLevel Acceptable el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 11/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [22:00:00 11/09/2017] id: Significant Events el: 0 cu: C-SICU cg: RN v1: Fluid Bolus st: NotStopd t0: [22:30:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4102 id: Eye Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:30:00 11/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [22:30:00 11/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [22:30:00 11/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:30:00 11/09/2017] id: Oral Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [22:30:00 11/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:30:00 11/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [22:30:00 11/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [22:30:00 11/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [22:30:00 11/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:30:00 11/09/2017] id: PresSoreStage/Heal#3 el: 0 cu: C-SICU cg: RN v1: Red, Unbroken st: NotStopd t0: [22:30:00 11/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [22:30:00 11/09/2017] id: PressSoreTreatment#3 el: 0 cu: C-SICU cg: RN v1: Open to Air st: NotStopd t0: [22:30:00 11/09/2017] id: PressSoreWoundBase#3 el: 0 cu: C-SICU cg: RN v1: Red st: NotStopd t0: [22:30:00 11/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [22:30:00 11/09/2017] id: Pressure Sore Site#3 el: 0 cu: C-SICU cg: RN v1: Coccyx st: NotStopd t0: [22:30:00 11/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:30:00 11/09/2017] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:30:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4102 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [22:30:00 11/09/2017] tf: [18:52:00 14/09/2017] dt: 4102 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [22:30:00 11/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:30:00 11/09/2017] id: Support Systems el: 0 cu: C-SICU cg: RN v1: Relative st: NotStopd t0: [22:30:00 11/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [22:30:00 11/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [22:30:00 11/09/2017] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [22:00:00 11/09/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: C-SICU cg: RN ai: 107 vu: ml nb: 1 t0: [22:30:00 11/09/2017] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vu: ml es: Medium
t0: [23:00:00 11/09/2017] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: estimateVol t0: [23:00:00 11/09/2017] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: estimateVol
t0: [23:00:00 11/09/2017] id: Cartridge/Bag Change el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [23:00:00 11/09/2017] id: Initials (2 RNs) el: 0 cu: C-SICU cg: -1 st: D/C'd t0: [23:00:00 11/09/2017] id: Med Wasted/Amt el: 0 cu: C-SICU cg: -1 st: D/C'd
tf: [22:00:00 12/09/2017] pt: Unit Dose rt: IV fr: ONCE fs: 23 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [22:00:00 11/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 101 rs: Manual st: NotStopd t0: [23:00:00 11/09/2017] id: Service Type el: 0 cu: C-SICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 11/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 11/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 11/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [23:00:00 11/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 11/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [23:00:00 11/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 11/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 115 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [23:00:00 11/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [23:00:00 11/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 11/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [23:00:00 11/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 11/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [23:00:00 11/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [23:00:00 11/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [23:00:00 11/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [23:00:00 11/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 11/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [23:00:00 11/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 11/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 11/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [23:00:00 11/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [23:00:00 11/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml t0: [23:00:00 11/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 0 vu: ml t0: [23:00:00 11/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [23:00:00 11/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 80 vu: ml
t0: [23:00:00 11/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 11/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 11/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 11/09/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 80 cv: 80 ap: estimateVol t0: [23:00:00 11/09/2017] dt: 1 id: Total Hourly Output el: 3 cu: C-SICU cg: RN pv: 80 cv: 80 ap: estimateVol t0: [23:00:00 11/09/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 85 cv: 85 ap: estimateVol t0: [23:00:00 11/09/2017] dt: 1 id: Net Hourly Balance el: 3 cu: C-SICU cg: RN pv: 85 cv: 85 ap: estimateVol t0: [23:00:00 11/09/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 165 cv: 8059 ap: none t0: [23:00:00 11/09/2017] dt: 24 id: IV Infusion In Total el: 3 cu: C-SICU cg: RN pv: 165 cv: 8059 ap: none t0: [23:00:00 11/09/2017] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 165 cv: 8209 ap: none t0: [23:00:00 11/09/2017] dt: 24 id: 24h Total In el: 3 cu: C-SICU cg: RN pv: 165 cv: 8209 ap: none t0: [23:00:00 11/09/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 80 cv: 1148 ap: none t0: [23:00:00 11/09/2017] dt: 24 id: Urine Out Total el: 3 cu: C-SICU cg: RN pv: 80 cv: 1148 ap: none t0: [23:00:00 11/09/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 85 cv: 7061 ap: estimateVol t0: [23:00:00 11/09/2017] dt: 24 id: 24h Net Body Balance el: 3 cu: C-SICU cg: RN pv: 85 cv: 7061 ap: estimateVol t0: [23:00:00 11/09/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 80 cv: 1148 ap: estimateVol t0: [23:00:00 11/09/2017] dt: 24 id: 24h Total Out el: 3 cu: C-SICU cg: RN pv: 80 cv: 1148 ap: estimateVol t0: [23:00:00 11/09/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 85 cv: 8301 ap: estimateVol t0: [23:00:00 11/09/2017] dt: multiple days id: LOS Net Body Balance el: 3 cu: C-SICU cg: RN pv: 85 cv: 8301 ap: estimateVol
t0: [00:00:00 12/09/2017] tf: [20:00:00 12/09/2017] dt: 1200 id: Less Restrict Meas. el: 0 cu: C-SICU cg: RN v1: Orientation st: NotStopd t0: [00:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 4012 id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [00:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 4012 id: Range of Motion el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 4012 id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [00:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 4012 id: Circulation/SkinInt el: 0 cu: C-SICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 12/09/2017] id: Communication el: 0 cu: C-SICU cg: RN v1: Nodding st: NotStopd t0: [00:00:00 12/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 12/09/2017] id: GI Prophylaxis el: 0 cu: C-SICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/09/2017] id: Diet Type el: 0 cu: C-SICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 12/09/2017] id: Dorsal PedPulse R/L el: 0 cu: C-SICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 12/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [00:00:00 12/09/2017] id: Alarms el: 0 cu: C-SICU cg: RN v1: ON st: NotStopd t0: [00:00:00 12/09/2017] id: Parameters Checked el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/09/2017] id: GI#1 Intub Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [00:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/09/2017] id: Eye Opening el: 0 cu: C-SICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 12/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 12/09/2017] id: Follows Commands el: 0 cu: C-SICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 12/09/2017] id: GCS Total el: 0 cu: C-SICU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 12/09/2017] id: GI Intub #1/Site el: 0 cu: C-SICU cg: RN v1: Gastric v2: Abdomen st: NotStopd t0: [00:00:00 12/09/2017] id: GI#1 Tube Stat/Drain el: 0 cu: C-SICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 73 u1: BPM st: NotStopd t0: [00:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 12/09/2017] id: INV Line#2 Type/Site el: 0 cu: C-SICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 12/09/2017] id: INV Line#2 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/09/2017] id: INV Line#2InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 12/09/2017] id: INV Line#2SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/09/2017] id: INV Line#3 Type/Site el: 0 cu: C-SICU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 12/09/2017] id: INV Line#3 Zero/Cal el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/09/2017] id: INV Line#3InsertDate el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 12/09/2017] id: INV Line#3SiteAppear el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/09/2017] id: Abdominal Assessment el: 0 cu: C-SICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 12/09/2017] id: INV#2 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 12/09/2017] id: INV#3 WaveformAppear el: 0 cu: C-SICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 12/09/2017] id: IV #2 Insert Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 14 st: NotStopd t0: [00:00:00 12/09/2017] id: IV #2 Site/Size el: 0 cu: C-SICU cg: RN v1: Left Wrist v2: 22 gauge st: NotStopd t0: [00:00:00 12/09/2017] id: IV Site Appear #2 el: 0 cu: C-SICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RN v1: 7.5 mm st: NotStopd t0: [00:00:00 12/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RN v1: Endotracheal st: NotStopd t0: [00:00:00 12/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RN v1: 8 v2: 16 st: NotStopd t0: [00:00:00 12/09/2017] id: LL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 12/09/2017] id: LLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 12/09/2017] id: LU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 12/09/2017] id: LUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/09/2017] id: Level of Conscious el: 0 cu: C-SICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 12/09/2017] id: Motor Response el: 0 cu: C-SICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 12/09/2017] id: Oral Cavity el: 0 cu: C-SICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 12/09/2017] id: Orientation el: 0 cu: C-SICU cg: RN v1: Unable to Assess st: NotStopd t0: [00:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [00:00:00 12/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [00:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [00:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 4012 id: Position Change el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/09/2017] id: PostTib. Pulses R/L el: 0 cu: C-SICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 12/09/2017] id: Press Sore Site #2 el: 0 cu: C-SICU cg: RN v1: Heel, Left st: NotStopd t0: [00:00:00 12/09/2017] id: PressSoreTreatment#1 el: 0 cu: C-SICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 12/09/2017] id: INV#2 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 12/09/2017] id: INV#3 Dsg Change el: 0 cu: C-SICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 12/09/2017] id: PressSoreWoundBase#1 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 12/09/2017] id: PressSoreWoundBase#2 el: 0 cu: C-SICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 12/09/2017] id: Pressure Sore Site#1 el: 0 cu: C-SICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 12/09/2017] id: ABP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 65 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [00:00:00 12/09/2017] id: CVP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 12/09/2017] id: HR Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 55 u1: BPM v2: 125 u2: BPM st: NotStopd t0: [00:00:00 12/09/2017] id: NBP Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [00:00:00 12/09/2017] id: Resp Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 8 u1: BPM v2: 45 u2: BPM st: NotStopd t0: [00:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [00:00:00 12/09/2017] id: SpO2 Alarm (Lo/Hi) el: 0 cu: C-SICU cg: RN v1: 92 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 12/09/2017] id: RL Strength/Movement el: 0 cu: C-SICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 12/09/2017] id: RLL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 12/09/2017] id: RU Strength/Movement el: 0 cu: C-SICU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 12/09/2017] id: RUL Lung Sounds el: 0 cu: C-SICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/09/2017] id: Reason For Restraint el: 0 cu: C-SICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 4012 id: Removed x 5 Mins el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/09/2017] id: Respiratory Pattern el: 0 cu: C-SICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 4012 id: Restraint Location el: 0 cu: C-SICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 4012 id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 12/09/2017] id: Restraint Type el: 0 cu: C-SICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 12/09/2017] id: Restraints Evaluated el: 0 cu: C-SICU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 12/09/2017] id: Side Rails el: 0 cu: C-SICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 12/09/2017] id: Skin Color el: 0 cu: C-SICU cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 12/09/2017] id: Skin Integrity el: 0 cu: C-SICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 12/09/2017] id: Skin Temp/Condition el: 0 cu: C-SICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 12/09/2017] id: Speech el: 0 cu: C-SICU cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 12/09/2017] id: Spontaneous Movement el: 0 cu: C-SICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 12/09/2017] id: Sputum Source/Amt el: 0 cu: C-SICU cg: RN v1: Suctioned v2: None st: NotStopd t0: [00:00:00 12/09/2017] id: Temp. Site el: 0 cu: C-SICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 12/09/2017] id: Temperature C (calc) el: 0 cu: C-SICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [00:00:00 12/09/2017] id: Temperature F el: 0 cu: C-SICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [00:00:00 12/09/2017] id: Urine Color/Appear el: 0 cu: C-SICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 12/09/2017] id: Urine Source el: 0 cu: C-SICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 12/09/2017] id: Verbal Response el: 0 cu: C-SICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 12/09/2017] id: Fingerstick Glucose Chemistry el: 0 cu: C-SICU cg: RN v1: 95 rs: Manual st: NotStopd t0: [00:00:00 12/09/2017] id: Bowel Sounds el: 0 cu: C-SICU cg: RN v1: Absent st: NotStopd
t0: [00:00:00 12/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml t0: [00:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [00:00:00 12/09/2017] id: TF Residual Gastric/TF Residual el: 1 cu: C-SICU cg: RN ai: 498 vo: 0 vu: ml t0: [00:00:00 12/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [00:00:00 12/09/2017] id: Gastric Meds PO/Gastric el: 1 cu: C-SICU cg: RN ai: 228 vo: 30 vu: ml t0: [00:00:00 12/09/2017] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: C-SICU cg: RN ai: 209 vo: 0 vu: ml st: Stopped t0: [00:00:00 12/09/2017] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: C-SICU cg: RN ai: 210 vo: 0 vu: ml st: Stopped t0: [00:00:00 12/09/2017] tf: [18:52:00 14/09/2017] dt: 4012 id: GT Flush PO/Gastric el: 1 cu: C-SICU cg: RN ai: 338 vo: 30 vu: ml t0: [00:00:00 12/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [00:00:00 12/09/2017] id: Gastric Gastric Tube el: 1 cu: C-SICU cg: RN vo: 0 vu: ml t0: [00:00:00 12/09/2017] id: Stool Out Stool el: 1 cu: C-SICU cg: RN vo: 0 vu: ml t0: [00:00:00 12/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 80 vu: ml
t0: [00:00:00 12/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 12/09/2017] id: Levophed-k el: 1 cu: C-SICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [00:00:00 12/09/2017] id: Insulin el: 1 cu: C-SICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped
t0: [23:00:00 12/09/2017] dt: 24 id: Gastric Out Total el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 12/09/2017] dt: 24 id: Gastric Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: none t0: [23:00:00 12/09/2017] dt: 24 id: PO/Gastric In Total el: 3 cu: C-SICU cg: RN cv: 120 ap: none t0: [23:00:00 12/09/2017] dt: 24 id: Stool Out Total el: 3 cu: C-SICU cg: RN cv: 0 ap: carryForward
t0: [00:00:00 12/09/2017] id: Magnesium Chemistry el: 0 cu: C-SICU cg: RN v1: 2gMgSO4 rs: Manual st: NotStopd t0: [00:00:00 12/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: RN v1: 2gMgSO4 rs: Manual st: NotStopd
t0: [00:00:00 12/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 12/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 12/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 12/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 12/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 12/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [00:30:00 12/09/2017] id: HOB el: 0 cu: C-SICU cg: RN v1: 30 degrees st: NotStopd t0: [00:30:00 12/09/2017] id: Activity el: 0 cu: C-SICU cg: RN v1: Bedrest st: NotStopd t0: [00:30:00 12/09/2017] id: Activity Tolerance el: 0 cu: C-SICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:30:00 12/09/2017] id: AntiEmbDevice/Status el: 0 cu: C-SICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:30:00 12/09/2017] id: PT Splint Loc/Stat#1 el: 0 cu: C-SICU cg: RN v1: Right Leg v2: On st: NotStopd t0: [00:30:00 12/09/2017] id: PT Splint Loc/Stat#2 el: 0 cu: C-SICU cg: RN v1: Left Leg v2: On st: NotStopd t0: [00:30:00 12/09/2017] id: Position el: 0 cu: C-SICU cg: RN v1: Left Side st: NotStopd t0: [00:30:00 12/09/2017] id: Assistance Device el: 0 cu: C-SICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:30:00 12/09/2017] id: PressureReduceDevice el: 0 cu: C-SICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:30:00 12/09/2017] id: Therapeutic Bed el: 0 cu: C-SICU cg: RN v1: AtmosAir Mattres st: NotStopd t0: [00:30:00 12/09/2017] id: Turn el: 0 cu: C-SICU cg: RN v1: Side to Side st: NotStopd t0: [00:30:00 12/09/2017] id: Back Care el: 0 cu: C-SICU cg: RN v1: Done st: NotStopd
t0: [00:30:00 12/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [00:30:00 12/09/2017] id: ETT Mark/Location el: 0 cu: C-SICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:30:00 12/09/2017] id: HIGH MINUTE VENT. el: 0 cu: C-SICU cg: RRT v1: 20 t0: [00:30:00 12/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:30:00 12/09/2017] id: High Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:30:00 12/09/2017] id: High Resp. Rate el: 0 cu: C-SICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:30:00 12/09/2017] id: I:E Ratio el: 0 cu: C-SICU cg: RRT v1: 1:2 st: NotStopd t0: [00:30:00 12/09/2017] id: Airway Size el: 0 cu: C-SICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:30:00 12/09/2017] id: Airway Type el: 0 cu: C-SICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:30:00 12/09/2017] id: Inspired Gas Temp el: 0 cu: C-SICU cg: RRT u1: Deg. C st: NotStopd t0: [00:30:00 12/09/2017] id: Intubation Date el: 0 cu: C-SICU cg: RRT v1: 8 v2: 16 st: NotStopd t0: [00:30:00 12/09/2017] id: Low Exhaled Min Vol el: 0 cu: C-SICU cg: RRT v1: 5 st: NotStopd t0: [00:30:00 12/09/2017] id: Mean Airway Pressure el: 0 cu: C-SICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:30:00 12/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RRT v1: 11.3 u1: L/min st: NotStopd t0: [00:30:00 12/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:30:00 12/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [00:30:00 12/09/2017] id: Plateau Pressure el: 0 cu: C-SICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [00:30:00 12/09/2017] id: Pressure Support el: 0 cu: C-SICU cg: RRT v1: 0 u1: . st: NotStopd t0: [00:30:00 12/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:30:00 12/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:30:00 12/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:30:00 12/09/2017] id: Sensitivity-Vent el: 0 cu: C-SICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:30:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RRT v1: 98 u1: % st: NotStopd t0: [00:30:00 12/09/2017] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RRT v1: 491 u1: ml/B st: NotStopd t0: [00:30:00 12/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:30:00 12/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RRT v1: Assist Control st: NotStopd t0: [00:30:00 12/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RRT v1: Drager st: NotStopd t0: [00:30:00 12/09/2017] id: Waveform-Vent el: 0 cu: C-SICU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [01:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 12/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [01:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [01:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [01:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 102 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [01:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [01:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [01:00:00 12/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [01:00:00 12/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [01:00:00 12/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 35 vu: ml
t0: [01:00:00 12/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 12/09/2017] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [02:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [02:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 12/09/2017] id: Riker-SAS Scale el: 0 cu: C-SICU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 12/09/2017] id: Risk for Falls el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 12/09/2017] id: Ectopy Frequency el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 12/09/2017] id: Ectopy Type el: 0 cu: C-SICU cg: RN v1: None st: NotStopd t0: [02:00:00 12/09/2017] id: Health Care Proxy el: 0 cu: C-SICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 12/09/2017] id: Heart Rate el: 0 cu: C-SICU cg: RN v1: 72 u1: BPM st: NotStopd t0: [02:00:00 12/09/2017] id: Heart Rhythm el: 0 cu: C-SICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 12/09/2017] id: Arterial BP el: 0 cu: C-SICU cg: RN v1: 125 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [02:00:00 12/09/2017] id: Pain Management el: 1 cu: C-SICU cg: RN v1: IV Gtt st: NotStopd t0: [02:00:00 12/09/2017] id: Arterial BP Mean el: 0 cu: C-SICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [02:00:00 12/09/2017] id: Precautions el: 0 cu: C-SICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 12/09/2017] id: Previous WeightF el: 0 cu: C-SICU cg: RN v1: 64 u1: kg st: NotStopd t0: [02:00:00 12/09/2017] id: Respiratory Rate el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 12/09/2017] id: SpO2 el: 0 cu: C-SICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 12/09/2017] id: calprevflg el: 0 cu: C-SICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 12/09/2017] id: D5W 100.0ml IV Infusions el: 2 cu: C-SICU cg: RN ai: 105 vo: 100 vu: ml t0: [02:00:00 12/09/2017] id: Lactated Ringers IV Infusions el: 1 cu: C-SICU cg: RN ai: 416 vo: 10 vu: ml t0: [02:00:00 12/09/2017] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: C-SICU cg: RN ai: 124 vo: 150 vu: ml t0: [02:00:00 12/09/2017] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [02:00:00 12/09/2017] id: Urine Out Foley el: 1 cu: C-SICU cg: RN vo: 90 vu: ml
t0: [02:00:00 12/09/2017] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 12/09/2017] id: Compliance (40-60ml) el: 0 cu: C-SICU cg: RN v1: 27.7778 u1: ml/cmH st: NotStopd t0: [02:00:00 12/09/2017] id: FiO2 Set el: 0 cu: C-SICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [02:00:00 12/09/2017] id: Minute Volume(Obser) el: 0 cu: C-SICU cg: RN v1: 11.3 u1: L/min st: NotStopd t0: [02:00:00 12/09/2017] id: PEEP Set el: 0 cu: C-SICU cg: RN v1: 5 u1: cmH2O st: NotStopd t0: [02:00:00 12/09/2017] id: Peak Insp. Pressure el: 0 cu: C-SICU cg: RN v1: 23 u1: cmH2O st: NotStopd t0: [02:00:00 12/09/2017] id: Resp Rate (Spont) el: 0 cu: C-SICU cg: RN v1: 0 u1: BPM st: NotStopd t0: [02:00:00 12/09/2017] id: Resp Rate (Total) el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 12/09/2017] id: Respiratory Rate Set el: 0 cu: C-SICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 12/09/2017] id: Tidal Volume (Obser) el: 0 cu: C-SICU cg: RN v1: 493 u1: ml/B st: NotStopd t0: [02:00:00 12/09/2017] id: Tidal Volume (Set) el: 0 cu: C-SICU cg: RN v1: 500 u1: ml/B st: NotStopd t0: [02:00:00 12/09/2017] id: Ventilator Mode el: 0 cu: C-SICU cg: RN v1: Assist Control st: NotStopd t0: [02:00:00 12/09/2017] id: Ventilator Type el: 0 cu: C-SICU cg: RN v1: Drager st: NotStopd
t0: [02:12:00 12/09/2017] id: Art.pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [02:12:00 12/09/2017] id: Arterial Base Excess ABG el: 0 cu: C-SICU cg: 3161 v1: -6 rs: Final st: NotStopd t0: [02:12:00 12/09/2017] id: Arterial CO2(Calc) ABG el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [02:12:00 12/09/2017] id: Arterial PaCO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [02:12:00 12/09/2017] id: Arterial PaO2 ABG el: 0 cu: C-SICU cg: 3161 v1: 91 u1: mmHg rs: Final st: NotStopd t0: [02:12:00 12/09/2017] id: Arterial pH ABG el: 0 cu: C-SICU cg: 3161 v1: 7.36 rs: Final st: NotStopd
t0: [02:00:00 12/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.7 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: WBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.7 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Hematocrit Hematology el: 0 cu: C-SICU cg: 3161 v1: 31.9 u1: % rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Hemoglobin Hematology el: 0 cu: C-SICU cg: 3161 v1: 10.4 u1: gm/dl rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Platelets Hematology el: 0 cu: C-SICU cg: 3161 v1: 516 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: RBC Hematology el: 0 cu: C-SICU cg: 3161 v1: 3.32 u1: /mic l rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: WBC (4-11,000) Hematology el: 0 cu: C-SICU cg: 3161 v1: 16.7 rs: Final st: NotStopd
t0: [02:00:00 12/09/2017] id: BUN el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Calcium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.5 u1: mg/dl rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Chloride Chemistry el: 0 cu: C-SICU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Creatinine Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Glucose Chemistry el: 0 cu: C-SICU cg: 3161 v1: 162 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Magnesium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Phosphorous Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Potassium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Sodium Chemistry el: 0 cu: C-SICU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: BUN (6-20) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 7.5 u1: mg/dl rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Carbon Dioxide Chemistry el: 0 cu: C-SICU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Chloride (100-112) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Glucose (70-105) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 162 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [02:00:00 12/09/2017] id: Sodium (135-148) Chemistry el: 0 cu: C-SICU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [03:00:00 12/09/2017] id: Pain Present el: 0 cu: C-SICU cg: RN v1: No st: NotStopd t0: [03:00:00 12/09/2017] id: Pain Assess Method el: 0 cu: C-SICU cg: RN v1: Non-verbal cues st: NotStopd t0: [03:00:00 12/09/2017] id: CVP el: 0 cu: C-SICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [03:00:00 12/09/2017] id: Code Status el: 0 cu: C-SICU cg: RN v1: Full Code st: NotS