This log is also available as text (s12821.txt) and as a (binary) annotation file (s12821.log).
Generated: Monday, 07-Jun-2010 13:20:29 EDT
(All dates below are surrogates.)
t0: [15:51:45 23/09/2015] tf: [00:54:32 04/10/2015] id: a42410 [view]
t0: [21:49:59 22/09/2015] tf: [01:11:59 04/10/2015] id: a42410n [view]
dd: 0389 ds: 1 ld: SEPTICEMIA NOS dd: 41071 ds: 9 ld: AMI, SUBENDOCARD INFARCT dd: 4240 ds: 8 ld: MITRAL VALVE DISORDER dd: 42731 ds: 4 ld: ATRIAL FIBRILLATION dd: 4280 ds: 7 ld: CONGESTIVE HEART FAILURE dd: 51881 ds: 3 ld: RESPIRATORY FAILURE dd: 5849 ds: 5 ld: ACUTE RENAL FAILURE NOS dd: 5990 ds: 6 ld: URIN TRACT INFECTION NOS dd: 78551 ds: 2 ld: CARDIOGENIC SHOCK
id: D5W el: 1 cu: CCU cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Po Intake el: 1 cu: CCU cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
tf: [13:52:00 14/10/2015] dt: 30284 cu: CCU di: No Disch Status
id: Levophed-k el: 100 cu: CCU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions am: 4 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ra: 20.9 ru: ml/hr
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:05:00 23/09/2015] id: BSA el: 1033 cu: CCU cg: -1 t0: [16:05:00 23/09/2015] id: Admit Wt el: 1032 cu: CCU cg: -1 v1: 62 u1: kg t0: [16:05:00 23/09/2015] id: Allergy 1 el: 1020 cu: CCU cg: -1 t0: [16:05:00 23/09/2015] id: Diagnosis/op el: 1023 cu: CCU cg: -1 v1: CHF,PNEUMONIA t0: [16:05:00 23/09/2015] id: Service el: 1026 cu: CCU cg: -1 v1: CME t0: [16:05:00 23/09/2015] id: Admit Ht el: 1034 cu: CCU cg: -1 t0: [16:05:00 23/09/2015] id: Readmission el: 1014 cu: CCU cg: -1 v1: No t0: [16:05:00 23/09/2015] id: Marital Status el: 1006 cu: CCU cg: -1 v1: M t0: [16:05:00 23/09/2015] id: Religion el: 1000 cu: CCU cg: -1 v1: RCA t0: [16:05:00 23/09/2015] id: Allergy 2 el: 1021 cu: CCU cg: -1 t0: [16:05:00 23/09/2015] id: Ext el: 1010 cu: CCU cg: -1 t0: [16:05:00 23/09/2015] id: PIN el: 1012 cu: CCU cg: -1 t0: [16:05:00 23/09/2015] id: Allergy 3 el: 1022 cu: CCU cg: -1
t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Heart Rate el: 0 cu: CCU cg: RN v1: 122 u1: BPM st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 23/09/2015] tf: [08:00:00 08/10/2015] dt: 21120 id: Inc Cleansing #1 el: 0 cu: CCU cg: RN v1: Betadine st: NotStopd t0: [16:00:00 23/09/2015] tf: [08:00:00 08/10/2015] dt: 21120 id: Inc Dsg/Status #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [16:00:00 23/09/2015] tf: [08:00:00 02/10/2015] dt: 12480 id: NBP el: 0 cu: CCU cg: RN v1: 89 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [16:00:00 23/09/2015] tf: [08:00:00 02/10/2015] dt: 12480 id: NBP Mean el: 0 cu: CCU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 23/09/2015] tf: [13:30:00 24/09/2015] dt: 1290 id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.0898925 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 38.8889 u1: Deg. C st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Temperature F el: 0 cu: CCU cg: RN v1: 102 u1: Deg. F st: NotStopd
t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Steri-strip v2: Other/Remarks st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: Serosanguinous v2: Large st: NotStopd
t0: [16:14:00 23/09/2015] tf: [20:00:00 02/10/2015] dt: 13186 id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 15.5172 u1: ml/cmH st: NotStopd t0: [16:14:00 23/09/2015] tf: [11:00:00 13/10/2015] dt: 28486 id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:14:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30098 id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 1 u1: torr st: NotStopd t0: [16:14:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30098 id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [16:14:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30098 id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:14:00 23/09/2015] tf: [20:00:00 02/10/2015] dt: 13186 id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:2.8 st: NotStopd t0: [16:14:00 23/09/2015] tf: [08:00:00 13/10/2015] dt: 28306 id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:14:00 23/09/2015] tf: [08:00:00 13/10/2015] dt: 28306 id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [16:14:00 23/09/2015] tf: [11:00:00 13/10/2015] dt: 28486 id: Intubation Date el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [16:14:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30098 id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [16:14:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30098 id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [16:14:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30098 id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:14:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30098 id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [16:14:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30098 id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.45 u1: L/min st: NotStopd t0: [16:14:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30098 id: PEEP Set el: 0 cu: CCU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [16:14:00 23/09/2015] tf: [20:00:00 02/10/2015] dt: 13186 id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [16:14:00 23/09/2015] tf: [20:00:00 02/10/2015] dt: 13186 id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 37 u1: cmH2O st: NotStopd t0: [16:14:00 23/09/2015] tf: [20:00:00 02/10/2015] dt: 13186 id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [16:14:00 23/09/2015] tf: [20:00:00 02/10/2015] dt: 13186 id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [16:14:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30098 id: Pressure Support el: 0 cu: CCU cg: RRT v1: 0 u1: . st: NotStopd t0: [16:14:00 23/09/2015] tf: [20:00:00 02/10/2015] dt: 13186 id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:14:00 23/09/2015] tf: [20:00:00 02/10/2015] dt: 13186 id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [16:14:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30098 id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [16:14:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30098 id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:14:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30098 id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Blood Tinged v2: Tenacious st: NotStopd t0: [16:14:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30098 id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [16:14:00 23/09/2015] tf: [20:00:00 02/10/2015] dt: 13186 id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [16:14:00 23/09/2015] tf: [20:00:00 02/10/2015] dt: 13186 id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [16:14:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30098 id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [16:14:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30098 id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [16:14:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30098 id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 3 u1: # st: NotStopd t0: [16:14:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30098 id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [16:14:00 23/09/2015] tf: [20:00:00 02/10/2015] dt: 13186 id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [16:30:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:30:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:30:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 93 u1: BPM st: NotStopd t0: [16:30:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [16:30:00 23/09/2015] id: NBP el: 0 cu: CCU cg: RN v1: 118 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [16:30:00 23/09/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [16:30:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30082 id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:30:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30082 id: Procedures el: 0 cu: CCU cg: RN v1: Pan Cultured st: NotStopd t0: [16:30:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30082 id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [16:30:00 23/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [16:30:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:45:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:45:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:45:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 100 u1: BPM st: NotStopd t0: [16:45:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [16:45:00 23/09/2015] id: NBP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [16:45:00 23/09/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [17:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30052 id: Previous Weight el: 0 cu: CCU cg: RN v1: EKG st: NotStopd t0: [16:45:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [16:45:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:55:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:55:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:55:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [16:55:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [16:55:00 23/09/2015] id: NBP el: 0 cu: CCU cg: RN v1: 77 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [16:55:00 23/09/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 56.3333 u1: mmHg st: NotStopd t0: [16:55:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [16:55:00 23/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [16:55:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:00:00 23/09/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Very Sedated st: NotStopd t0: [17:00:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [17:00:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 23/09/2015] id: NBP el: 0 cu: CCU cg: RN v1: 86 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [17:00:00 23/09/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 61.3333 u1: mmHg st: NotStopd t0: [17:00:00 23/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30052 id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [17:00:00 23/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [17:00:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:00:00 23/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30052 id: Weight Change el: 0 cu: CCU cg: RN v1: 0 u1: kg st: NotStopd t0: [17:00:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30052 id: Daily Weight el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd
t0: [16:30:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.0898925 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:45:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.0898925 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:55:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline el: 1 cu: CCU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [16:30:00 23/09/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Tenacious st: NotStopd t0: [16:30:00 23/09/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:30:00 23/09/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [16:30:00 23/09/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 38.8889 u1: Deg. C st: NotStopd t0: [16:30:00 23/09/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 102 u1: Deg. F st: NotStopd t0: [17:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30052 id: Pain Present el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30052 id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [17:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30052 id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd
t0: [17:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30052 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [17:00:00 23/09/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 22.0646 vu: ml
t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Level of Conscious el: 0 cu: CCU cg: RN v1: Paralytic Med st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd
t0: [16:00:00 23/09/2015] tf: [18:00:00 23/09/2015] dt: 120 id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 10 vu: ml t0: [16:00:00 23/09/2015] tf: [15:00:00 24/09/2015] dt: 1380 id: Pre-Admission Output Pre-Admission Output el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [17:10:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:10:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:10:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 86 u1: BPM st: NotStopd t0: [17:10:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [17:10:00 23/09/2015] id: NBP el: 0 cu: CCU cg: RN v1: 89 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:10:00 23/09/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [17:10:00 23/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:10:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30042 id: Radiologic Study el: 0 cu: CCU cg: RN v1: Chest Xray st: NotStopd t0: [17:10:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [17:10:00 23/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd
t0: [17:10:00 23/09/2015] tf: [22:00:00 23/09/2015] dt: 290 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 500 vu: ml nb: 1
t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 28.1 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: WBC Hematology el: 0 cu: CCU cg: 140 v1: 28.1 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 37.9 u1: % rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 12.3 u1: gm/dl rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 506 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 4.13 u1: /mic l rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 28.1 rs: Final st: NotStopd
t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: PT el: 0 cu: CCU cg: 140 v1: 14.6 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: INR Coags el: 0 cu: CCU cg: 140 v1: 1.4 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: PTT Coags el: 0 cu: CCU cg: 140 v1: 26.6 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.4 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 14.6 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 26.6 rs: Final st: NotStopd
t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: BUN el: 0 cu: CCU cg: 140 v1: 22 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Albumin Chemistry el: 0 cu: CCU cg: 140 v1: 3.1 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Chloride Chemistry el: 0 cu: CCU cg: 140 v1: 96 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Creatinine Chemistry el: 0 cu: CCU cg: 140 v1: 1.5 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 184 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Magnesium Chemistry el: 0 cu: CCU cg: 140 v1: 2.4 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Phosphorous Chemistry el: 0 cu: CCU cg: 140 v1: 6.5 u1: mEq/L rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 5.3 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Sodium Chemistry el: 0 cu: CCU cg: 140 v1: 140 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Total Bili Chemistry el: 0 cu: CCU cg: 140 v1: 1 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 37 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 95 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Albumin (>3.2) Chemistry el: 0 cu: CCU cg: 140 v1: 3.1 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 93 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 22 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 238 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 26 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 96 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1.5 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 184 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: LDH Enzymes el: 0 cu: CCU cg: 140 v1: 607 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.4 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 6.5 u1: mEq/L rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 5.3 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 140 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 1 rs: Final st: NotStopd
t0: [17:10:00 23/09/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Very Sedated st: NotStopd t0: [17:20:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:20:00 23/09/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Very Sedated st: NotStopd t0: [17:20:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:20:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [17:20:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [17:20:00 23/09/2015] id: NBP el: 0 cu: CCU cg: RN v1: 89 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [17:20:00 23/09/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 47 u1: mmHg st: NotStopd t0: [17:20:00 23/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:20:00 23/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [17:20:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [17:20:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:30:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:30:00 23/09/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Very Sedated st: NotStopd t0: [17:30:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:30:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [17:30:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [17:30:00 23/09/2015] id: NBP el: 0 cu: CCU cg: RN v1: 89 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:30:00 23/09/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [17:30:00 23/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:30:00 23/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [17:30:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [17:30:00 23/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [17:30:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:40:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:40:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:40:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [17:40:00 23/09/2015] id: NBP el: 0 cu: CCU cg: RN v1: 74 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [17:40:00 23/09/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 49.3333 u1: mmHg st: NotStopd t0: [17:40:00 23/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:40:00 23/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [17:40:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [17:40:00 23/09/2015] id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd t0: [17:40:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:50:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30002 id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 500 vu: ml t0: [18:00:00 23/09/2015] tf: [22:30:00 23/09/2015] dt: 270 id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 43.2875 vu: ml
t0: [17:00:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:10:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:20:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.172043 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:30:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.215054 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:40:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.215 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: CPK/MB Enzymes el: 0 cu: CCU cg: 140 v1: 27 rs: Final st: NotStopd
t0: [18:00:00 23/09/2015] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 16.0714 u1: ml/cmH st: NotStopd t0: [18:00:00 23/09/2015] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [18:00:00 23/09/2015] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 1 u1: torr st: NotStopd t0: [18:00:00 23/09/2015] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [18:00:00 23/09/2015] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [18:00:00 23/09/2015] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:3.4 st: NotStopd t0: [18:00:00 23/09/2015] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [18:00:00 23/09/2015] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [18:00:00 23/09/2015] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [18:00:00 23/09/2015] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [18:00:00 23/09/2015] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 3 st: NotStopd t0: [18:00:00 23/09/2015] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [18:00:00 23/09/2015] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [18:00:00 23/09/2015] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 6.45 u1: L/min st: NotStopd t0: [18:00:00 23/09/2015] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [18:00:00 23/09/2015] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [18:00:00 23/09/2015] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 36 u1: cmH2O st: NotStopd t0: [18:00:00 23/09/2015] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [18:00:00 23/09/2015] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 0 u1: . st: NotStopd t0: [18:00:00 23/09/2015] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [18:00:00 23/09/2015] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [18:00:00 23/09/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [18:00:00 23/09/2015] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [18:00:00 23/09/2015] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [18:00:00 23/09/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [18:00:00 23/09/2015] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [18:00:00 23/09/2015] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 3 u1: # st: NotStopd t0: [18:00:00 23/09/2015] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [18:00:00 23/09/2015] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [16:30:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30082 id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30082 id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd t0: [17:00:00 23/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 23/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:00:00 23/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29992 id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29992 id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [18:00:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 23/09/2015] id: NBP el: 0 cu: CCU cg: RN v1: 95 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [18:00:00 23/09/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [18:00:00 23/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 23/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [18:00:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [18:00:00 23/09/2015] id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd t0: [18:00:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:30:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:30:00 23/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:30:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:30:00 23/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:30:00 23/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:30:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [18:30:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [18:30:00 23/09/2015] tf: [15:00:00 13/10/2015] dt: 28590 id: Arterial BP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [18:30:00 23/09/2015] tf: [15:00:00 13/10/2015] dt: 28590 id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [18:30:00 23/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:30:00 23/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [18:30:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [18:30:00 23/09/2015] id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd t0: [18:30:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 23/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 0 vu: ml t0: [18:30:00 23/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 500 vu: ml
t0: [18:00:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.215 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:30:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.237 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 23/09/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [18:00:00 23/09/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [19:06:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29926 id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd t0: [19:06:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29926 id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -4 rs: Final st: NotStopd t0: [19:06:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29926 id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 20 rs: Final st: NotStopd t0: [19:06:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29926 id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [19:06:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29926 id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 349 u1: mmHg rs: Final st: NotStopd t0: [19:06:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29926 id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd
t0: [17:00:00 23/09/2015] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [17:00:00 23/09/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [19:00:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [19:00:00 23/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [19:00:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [19:00:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 23/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [19:00:00 23/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [19:00:00 23/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:00:00 23/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [19:00:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [19:00:00 23/09/2015] id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd t0: [19:00:00 23/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 23/09/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [19:00:00 23/09/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [19:00:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 23/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 500 vu: ml t0: [19:00:00 23/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 52.545 vu: ml
t0: [19:00:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.237 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [19:30:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [19:30:00 23/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:30:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [19:30:00 23/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Frequent st: NotStopd t0: [19:30:00 23/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [19:30:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 73 u1: BPM st: NotStopd t0: [19:30:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: V Paced st: NotStopd t0: [19:30:00 23/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 102 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [19:30:00 23/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [19:30:00 23/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:30:00 23/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [19:30:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [19:30:00 23/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [19:30:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 23/09/2015] id: Previous Weight el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd
t0: [19:30:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.237 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [19:30:00 23/09/2015] id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd t0: [19:30:00 23/09/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [19:30:00 23/09/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [19:30:00 23/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 500 vu: ml t0: [19:30:00 23/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 27.5513 vu: ml
t0: [18:41:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29951 id: Fibrinogen Coags el: 0 cu: CCU cg: 140 v1: 505 rs: Final st: NotStopd t0: [18:41:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29951 id: Fibrinogen (150-400) Coags el: 0 cu: CCU cg: 140 v1: 505 rs: Final st: NotStopd
t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Family Communication el: 0 cu: CCU cg: RN v1: Fam Talked to MD st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:00:00 05/10/2015] dt: 17100 id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:00:00 05/10/2015] dt: 17100 id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: ? st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 23/09/2015] tf: [23:01:00 23/09/2015] dt: 421 id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 23/09/2015] tf: [23:01:00 23/09/2015] dt: 421 id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [16:00:00 23/09/2015] tf: [23:01:00 23/09/2015] dt: 421 id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: Drainage st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Golden v2: Loose st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Behavior el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30112 id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd
t0: [20:00:00 23/09/2015] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 26.1628 u1: ml/cmH st: NotStopd t0: [20:00:00 23/09/2015] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 23/09/2015] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 23/09/2015] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 23/09/2015] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 23/09/2015] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:1.8 st: NotStopd t0: [20:00:00 23/09/2015] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 23/09/2015] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 23/09/2015] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [20:00:00 23/09/2015] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:00:00 23/09/2015] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 3.5 st: NotStopd t0: [20:00:00 23/09/2015] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 23/09/2015] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 12.9 u1: cmH2O st: NotStopd t0: [20:00:00 23/09/2015] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [20:00:00 23/09/2015] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 23/09/2015] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 60 u1: L/m st: NotStopd t0: [20:00:00 23/09/2015] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 25.2 u1: cmH2O st: NotStopd t0: [20:00:00 23/09/2015] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [20:00:00 23/09/2015] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 23/09/2015] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [20:00:00 23/09/2015] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 23/09/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 23/09/2015] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 23/09/2015] id: SpO2 el: 0 cu: CCU cg: RRT v1: 99 u1: % st: NotStopd t0: [20:00:00 23/09/2015] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [20:00:00 23/09/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [20:00:00 23/09/2015] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 23/09/2015] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 3 u1: # st: NotStopd t0: [20:00:00 23/09/2015] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 23/09/2015] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 23/09/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [20:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29872 id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Grimace Scale st: NotStopd t0: [20:00:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:00:00 23/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 23/09/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Agitated st: NotStopd t0: [20:00:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/09/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [20:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29872 id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29872 id: GCS Total el: 0 cu: CCU cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 23/09/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 23/09/2015] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [20:00:00 23/09/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [20:00:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [20:00:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 23/09/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29872 id: Motor Response el: 0 cu: CCU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 23/09/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 23/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 88 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [20:00:00 23/09/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 23/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [20:00:00 23/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 23/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [20:00:00 23/09/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 23/09/2015] id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd t0: [20:00:00 23/09/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 23/09/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29872 id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 23/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 500 vu: ml
t0: [20:00:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.237 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 23/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Runs Vtach st: NotStopd t0: [20:00:00 23/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 23/09/2015] tf: [18:00:00 24/09/2015] dt: 1320 id: Transcut Pad Place el: 0 cu: CCU cg: RN v1: Anterior Apex st: NotStopd t0: [20:00:00 23/09/2015] tf: [18:00:00 24/09/2015] dt: 1320 id: Transcutan Pacer el: 0 cu: CCU cg: RN v1: ON st: NotStopd t0: [20:15:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:15:00 23/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:15:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:15:00 23/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Frequent st: NotStopd t0: [20:15:00 23/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [20:15:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 61 u1: BPM st: NotStopd t0: [20:15:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [20:15:00 23/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 110 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:15:00 23/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [20:15:00 23/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:15:00 23/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [20:15:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [20:15:00 23/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 92 u1: % st: NotStopd t0: [20:15:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:30:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:30:00 23/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:30:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:30:00 23/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Frequent st: NotStopd t0: [20:30:00 23/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [20:30:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 60 u1: BPM st: NotStopd t0: [20:30:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [20:30:00 23/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 111 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [20:30:00 23/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [20:30:00 23/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:30:00 23/09/2015] id: Previous Weight el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [20:30:00 23/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [20:30:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:30:00 23/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [20:30:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 23/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 27.5513 vu: ml t0: [20:00:00 23/09/2015] tf: [14:00:00 25/09/2015] dt: 2520 id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 10 vu: ml
t0: [20:15:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.237 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:30:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.237 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:45:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:45:00 23/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:45:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:45:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 68 u1: BPM st: NotStopd t0: [20:45:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [20:45:00 23/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 89 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [20:45:00 23/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [20:45:00 23/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:45:00 23/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [20:45:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 11 u1: BPM st: NotStopd t0: [20:45:00 23/09/2015] id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd t0: [20:45:00 23/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [20:45:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [21:00:00 23/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:00:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 71 u1: BPM st: NotStopd t0: [21:00:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 23/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [21:00:00 23/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [21:00:00 23/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 23/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [21:00:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:00:00 23/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [21:00:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:45:00 23/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 500 vu: ml
t0: [20:45:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.237 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.237 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 23/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 23/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd
t0: [21:00:00 23/09/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.33 rs: Final st: NotStopd t0: [21:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29812 id: CaO2 el: 0 cu: CCU cg: 140 v1: 15.7504 u1: ml/dl st: NotStopd t0: [21:00:00 23/09/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -6 rs: Final st: NotStopd t0: [21:00:00 23/09/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 20 rs: Final st: NotStopd t0: [21:00:00 23/09/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [21:00:00 23/09/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 83 u1: mmHg rs: Final st: NotStopd t0: [21:00:00 23/09/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.33 rs: Final st: NotStopd t0: [21:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29812 id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 94 u1: % rs: Final st: NotStopd
t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Differential-Bands Hematology el: 0 cu: CCU cg: 140 v1: 10 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Differential-Basos Hematology el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Differential-Eos Hematology el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Differential-Lymphs Hematology el: 0 cu: CCU cg: 140 v1: 4 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Differential-Monos Hematology el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [16:47:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 30065 id: Differential-Polys Hematology el: 0 cu: CCU cg: 140 v1: 82 rs: Final st: NotStopd t0: [20:00:00 23/09/2015] tf: [13:00:00 05/10/2015] dt: 16860 id: Range of Motion el: 0 cu: CCU cg: RRT v1: Done st: NotStopd t0: [20:00:00 23/09/2015] tf: [13:00:00 05/10/2015] dt: 16860 id: Circulation/SkinInt el: 0 cu: CCU cg: RRT v1: Circulation Adeq st: NotStopd t0: [20:00:00 23/09/2015] id: Family Communication el: 0 cu: CCU cg: RRT v1: Family Visited st: NotStopd t0: [20:00:00 23/09/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RRT v1: Other/Remarks st: NotStopd t0: [20:00:00 23/09/2015] tf: [08:00:00 27/09/2015] dt: 5040 id: Angio Site #1 el: 0 cu: CCU cg: RRT v1: L Femoral st: NotStopd t0: [20:00:00 23/09/2015] tf: [13:00:00 05/10/2015] dt: 16860 id: Position Change el: 0 cu: CCU cg: RRT v1: Done st: NotStopd t0: [20:00:00 23/09/2015] tf: [13:00:00 05/10/2015] dt: 16860 id: Reason For Restraint el: 0 cu: CCU cg: RRT v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 23/09/2015] tf: [13:00:00 05/10/2015] dt: 16860 id: Removed x 5 Mins el: 0 cu: CCU cg: RRT v1: Done st: NotStopd t0: [20:00:00 23/09/2015] tf: [13:00:00 05/10/2015] dt: 16860 id: Restraint Location el: 0 cu: CCU cg: RRT v1: Both Arms st: NotStopd t0: [20:00:00 23/09/2015] tf: [13:00:00 05/10/2015] dt: 16860 id: Restraint Type el: 0 cu: CCU cg: RRT v1: Soft Limb st: NotStopd t0: [20:00:00 23/09/2015] tf: [13:00:00 05/10/2015] dt: 16860 id: Restraints Evaluated el: 0 cu: CCU cg: RRT v1: Behavior Conts st: NotStopd t0: [20:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29872 id: Side Rails el: 0 cu: CCU cg: RRT v1: Side Rails Up st: NotStopd t0: [20:00:00 23/09/2015] id: Support Systems el: 0 cu: CCU cg: RRT v1: Children st: NotStopd t0: [21:00:00 23/09/2015] id: Diet Type el: 0 cu: CCU cg: RRT v1: NPO st: NotStopd t0: [21:00:00 23/09/2015] tf: [18:00:00 25/09/2015] dt: 2700 id: Emesis Appearance/ph el: 0 cu: CCU cg: RRT v1: Clear v2: 5-7 st: NotStopd t0: [21:00:00 23/09/2015] tf: [13:00:00 05/10/2015] dt: 16800 id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RRT v1: Salem Sump v2: Right Nare st: NotStopd t0: [21:00:00 23/09/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RRT v1: Done st: NotStopd t0: [21:00:00 23/09/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RRT v1: Clamped st: NotStopd t0: [21:00:00 23/09/2015] id: GU Cath Insert Date el: 0 cu: CCU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [21:00:00 23/09/2015] id: GU Catheter Size el: 0 cu: CCU cg: RRT v1: 16 French st: NotStopd t0: [21:00:00 23/09/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RRT v1: Soft st: NotStopd t0: [21:00:00 23/09/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RRT v1: Coarse st: NotStopd t0: [21:00:00 23/09/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RRT v1: Coarse st: NotStopd t0: [21:00:00 23/09/2015] id: Oral Cavity el: 0 cu: CCU cg: RRT v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 23/09/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RRT v1: Exp Wheeze st: NotStopd t0: [21:00:00 23/09/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RRT v1: Coarse st: NotStopd t0: [21:00:00 23/09/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RRT v1: Regular st: NotStopd t0: [21:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29812 id: Skin Integrity el: 0 cu: CCU cg: RRT v1: Impaired st: NotStopd t0: [21:00:00 23/09/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RRT v1: Yellow v2: Clear st: NotStopd t0: [21:00:00 23/09/2015] id: Urine Source el: 0 cu: CCU cg: RRT v1: Indwelling Cath st: NotStopd t0: [21:00:00 23/09/2015] id: Bowel Sounds el: 0 cu: CCU cg: RRT v1: Hypoactive st: NotStopd t0: [21:15:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [21:15:00 23/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:15:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:15:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [21:15:00 23/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [21:15:00 23/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [21:15:00 23/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:15:00 23/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [21:15:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 11 u1: BPM st: NotStopd t0: [21:15:00 23/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [21:15:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:26:00 23/09/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [21:30:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [21:30:00 23/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:30:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:30:00 23/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [21:30:00 23/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [21:30:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [21:30:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [21:30:00 23/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 84 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [21:30:00 23/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [21:30:00 23/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:30:00 23/09/2015] id: Previous Weight el: 0 cu: CCU cg: RRT v1: 59.5 u1: kg st: NotStopd t0: [21:30:00 23/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [21:30:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:30:00 23/09/2015] id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd t0: [21:30:00 23/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [21:30:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:15:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.237 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:30:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
id: Levophed-k el: 101 cu: CCU cg: RN io: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions am: 16 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ra: 17.4375 ru: ml/hr
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [18:41:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29951 id: D-Dimer Coags el: 0 cu: CCU cg: 140 v1: >2000 rs: Final st: NotStopd t0: [18:41:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29951 id: D-Dimer (0-500) Coags el: 0 cu: CCU cg: 140 v1: >2000 rs: Final st: NotStopd
t0: [21:00:00 23/09/2015] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm st: NotStopd
t0: [23:00:00 23/09/2015] tf: [23:01:00 23/09/2015] dt: 1 id: INV Line#1 D/C Date el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [23:00:00 23/09/2015] tf: [15:00:00 07/10/2015] dt: 19680 id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [22:00:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:00:00 23/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29692 id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 23/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 23/09/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 68 u1: BPM st: NotStopd t0: [22:00:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 23/09/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 23/09/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29752 id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: None/Remarks st: NotStopd t0: [22:00:00 23/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 133 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [22:00:00 23/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [23:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29692 id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 23/09/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 23/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 23/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [22:00:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:00:00 23/09/2015] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:30:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:30:00 23/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:30:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:30:00 23/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:30:00 23/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:30:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [22:30:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [22:30:00 23/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 167 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [22:30:00 23/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [22:30:00 23/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:30:00 23/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [22:30:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:30:00 23/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [22:30:00 23/09/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [22:30:00 23/09/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [22:30:00 23/09/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [22:30:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:35:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:35:00 23/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:35:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:35:00 23/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:35:00 23/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:35:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 68 u1: BPM st: NotStopd t0: [22:35:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:35:00 23/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 73 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [22:35:00 23/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [22:35:00 23/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:35:00 23/09/2015] id: Previous Weight el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [22:35:00 23/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [22:35:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [22:35:00 23/09/2015] id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd t0: [22:35:00 23/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 90 u1: % st: NotStopd t0: [22:35:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:40:00 23/09/2015] id: Previous Weight el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [23:00:00 23/09/2015] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [23:00:00 23/09/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [23:00:00 23/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 23/09/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [23:00:00 23/09/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Weak Palpable st: NotStopd t0: [23:00:00 23/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 23/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 23/09/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [23:00:00 23/09/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Fam Talked to RN st: NotStopd t0: [23:00:00 23/09/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 8 u1: points st: NotStopd t0: [23:00:00 23/09/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [23:00:00 23/09/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Not Done st: NotStopd t0: [23:00:00 23/09/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [23:00:00 23/09/2015] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [23:00:00 23/09/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [23:00:00 23/09/2015] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [23:00:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [23:00:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 23/09/2015] id: INV Line#1 D/C Date el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [23:00:00 23/09/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [23:00:00 23/09/2015] tf: [15:00:00 07/10/2015] dt: 19680 id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [23:00:00 23/09/2015] tf: [15:00:00 07/10/2015] dt: 19680 id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [23:00:00 23/09/2015] tf: [15:00:00 07/10/2015] dt: 19680 id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [23:00:00 23/09/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 23/09/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [23:00:00 23/09/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [23:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29692 id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [23:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29692 id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [23:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29692 id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [23:00:00 23/09/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [23:00:00 23/09/2015] tf: [15:00:00 07/10/2015] dt: 19680 id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [23:00:00 23/09/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 23/09/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29692 id: Imp Skin Cleanse #1 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [23:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29692 id: Imp Skin Cleanse #2 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [23:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29692 id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [23:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29692 id: ImpSkin Character #2 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [23:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29692 id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [23:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29692 id: ImpSkin Treatment #2 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [23:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29692 id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Red st: NotStopd t0: [23:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29692 id: ImpSkin Wound Base#2 el: 0 cu: CCU cg: RN v1: Red st: NotStopd t0: [23:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29692 id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Breast st: NotStopd t0: [23:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29692 id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [23:00:00 23/09/2015] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [23:00:00 23/09/2015] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 23/09/2015] id: Inc Dsg/Status #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 23/09/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 23/09/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 23/09/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 23/09/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [23:00:00 23/09/2015] tf: [08:00:00 27/09/2015] dt: 4860 id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Ecchymotic v2: Clean and Dry st: NotStopd t0: [23:00:00 23/09/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [23:00:00 23/09/2015] tf: [08:00:00 27/09/2015] dt: 4860 id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [23:00:00 23/09/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [23:00:00 23/09/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 23/09/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: L Femoral st: NotStopd t0: [23:00:00 23/09/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: None/Remarks st: NotStopd t0: [23:00:00 23/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 143 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [23:00:00 23/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [23:00:00 23/09/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [23:00:00 23/09/2015] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 23/09/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Weak Palpable st: NotStopd t0: [23:00:00 23/09/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 23/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 23/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [23:00:00 23/09/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 23/09/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 23/09/2015] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [23:00:00 23/09/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 23/09/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [23:00:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 23/09/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [23:00:00 23/09/2015] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [23:00:00 23/09/2015] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: BehaviorSubsided st: NotStopd t0: [23:00:00 23/09/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 23/09/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [23:00:00 23/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 23/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [23:00:00 23/09/2015] id: Transcut Pad Place el: 0 cu: CCU cg: RN v1: Anterior Apex st: NotStopd t0: [23:00:00 23/09/2015] id: Transcutan Pacer el: 0 cu: CCU cg: RN v1: ON st: NotStopd t0: [23:00:00 23/09/2015] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [23:00:00 23/09/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [23:00:00 23/09/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [23:00:00 23/09/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [23:00:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 23/09/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [23:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29692 id: Braden Activity el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd t0: [23:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29692 id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [23:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29692 id: Braden Mobility el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [23:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29692 id: Braden Moisture el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [23:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29692 id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [23:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29692 id: Braden Score el: 0 cu: CCU cg: RN v1: Adequate st: NotStopd t0: [23:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29692 id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: 13 u1: number st: NotStopd t0: [23:00:00 23/09/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [22:30:00 23/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 40 vu: ml t0: [22:35:00 23/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 500 vu: ml t0: [23:00:00 23/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 10 vu: ml
t0: [22:00:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:30:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:35:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 23/09/2015] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 50 cv: 50 ap: none t0: [23:00:00 23/09/2015] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 50 cv: 70 ap: none t0: [23:00:00 23/09/2015] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 50 cv: 150 ap: none
id: Neosynephrine-k el: 100 cu: CCU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions am: 60 du: mcgkgmin rt: IV Drip id: Dopamine el: 100 cu: CCU cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions am: 400 du: mcgkgmin rt: IV Drip
t0: [21:00:00 23/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 500 vu: ml
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [23:01:00 23/09/2015] id: INV Line#1 D/C Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [23:01:00 23/09/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 st: D/C'd t0: [23:01:00 23/09/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 st: D/C'd t0: [23:01:00 23/09/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 st: D/C'd
t0: [23:07:00 23/09/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.3 rs: Final st: NotStopd t0: [23:07:00 23/09/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -7 rs: Final st: NotStopd t0: [23:07:00 23/09/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 19 rs: Final st: NotStopd t0: [23:07:00 23/09/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [23:07:00 23/09/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 108 u1: mmHg rs: Final st: NotStopd t0: [23:07:00 23/09/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.3 rs: Final st: NotStopd
t0: [23:07:00 23/09/2015] id: CaO2 el: 0 cu: CCU cg: 140 v1: 16.4872 u1: ml/dl st: NotStopd t0: [23:07:00 23/09/2015] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 98 u1: % rs: Final st: NotStopd
t0: [23:07:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29685 id: Lactic Acid Chemistry el: 0 cu: CCU cg: 140 v1: 6.8 rs: Final st: NotStopd t0: [23:07:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29685 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 6.8 rs: Final st: NotStopd
t0: [23:15:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [23:15:00 23/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:15:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:15:00 23/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:15:00 23/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:15:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 73 u1: BPM st: NotStopd t0: [23:15:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [23:15:00 23/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 142 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [23:15:00 23/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [23:15:00 23/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:15:00 23/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [23:15:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:15:00 23/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [23:15:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:30:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [23:30:00 23/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:30:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:30:00 23/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:30:00 23/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:30:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 69 u1: BPM st: NotStopd t0: [23:30:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [23:30:00 23/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 151 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [23:30:00 23/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [23:30:00 23/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:30:00 23/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [23:30:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:30:00 23/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [23:30:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:35:00 23/09/2015] id: Previous Weight el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd
t0: [23:15:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:30:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:35:00 23/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [23:35:00 23/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:35:00 23/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:35:00 23/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:35:00 23/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:35:00 23/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [23:35:00 23/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [23:35:00 23/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 149 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [23:35:00 23/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [23:35:00 23/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:35:00 23/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [23:35:00 23/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:35:00 23/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [23:35:00 23/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:35:00 23/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.35 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:35:00 23/09/2015] tf: [08:00:00 24/09/2015] dt: 505 id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 24/09/2015] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [00:00:00 24/09/2015] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 24/09/2015] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 24/09/2015] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:3.5 st: NotStopd t0: [00:00:00 24/09/2015] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 24/09/2015] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 24/09/2015] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [00:00:00 24/09/2015] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [00:00:00 24/09/2015] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 6 st: NotStopd t0: [00:00:00 24/09/2015] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [00:00:00 24/09/2015] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [00:00:00 24/09/2015] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [00:00:00 24/09/2015] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 60 u1: L/m st: NotStopd t0: [00:00:00 24/09/2015] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [00:00:00 24/09/2015] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [00:00:00 24/09/2015] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 24/09/2015] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 24/09/2015] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:00:00 24/09/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:00:00 24/09/2015] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RRT v1: 91 u1: % st: NotStopd t0: [00:00:00 24/09/2015] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [00:00:00 24/09/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [00:00:00 24/09/2015] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 24/09/2015] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 3 u1: # st: NotStopd t0: [00:00:00 24/09/2015] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 24/09/2015] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [00:15:00 24/09/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.32 rs: Final st: NotStopd t0: [00:15:00 24/09/2015] id: CaO2 el: 0 cu: CCU cg: 140 v1: 14.8612 u1: ml/dl st: NotStopd t0: [00:15:00 24/09/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -8 rs: Final st: NotStopd t0: [00:15:00 24/09/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 18 rs: Final st: NotStopd t0: [00:15:00 24/09/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [00:15:00 24/09/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 62 u1: mmHg rs: Final st: NotStopd t0: [00:15:00 24/09/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.32 rs: Final st: NotStopd t0: [00:15:00 24/09/2015] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 89 u1: % rs: Final st: NotStopd
t0: [00:00:00 24/09/2015] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 21.4286 u1: ml/cmH st: NotStopd t0: [00:00:00 24/09/2015] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 24/09/2015] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd
t0: [00:00:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Frequent st: NotStopd t0: [00:00:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 86 u1: BPM st: NotStopd t0: [00:00:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 178 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [00:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 115 u1: mmHg st: NotStopd t0: [00:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [00:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:05:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:05:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:05:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:05:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Frequent st: NotStopd t0: [00:05:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [00:05:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [00:05:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [00:05:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 168 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [00:05:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [00:05:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:05:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [00:05:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [00:05:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 86 u1: % st: NotStopd t0: [00:05:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:10:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:10:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:10:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:10:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Frequent st: NotStopd t0: [00:10:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [00:10:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 99 u1: BPM st: NotStopd t0: [00:10:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [00:10:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 144 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [00:10:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [00:10:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:10:00 24/09/2015] id: Previous Weight el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [00:10:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [00:10:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:10:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 87 u1: % st: NotStopd t0: [00:10:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:15:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:15:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:15:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:15:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Frequent st: NotStopd t0: [00:15:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [00:15:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [00:15:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [00:15:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 146 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [00:15:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [00:15:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:15:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [00:15:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [00:15:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [00:15:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:20:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:20:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:20:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:20:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [00:20:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [00:20:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [00:20:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [00:20:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 138 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [00:20:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [00:20:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:20:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 7 u1: BPM st: NotStopd t0: [00:20:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 89 u1: % st: NotStopd t0: [00:20:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:25:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:25:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:25:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:25:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [00:25:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [00:25:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 93 u1: BPM st: NotStopd t0: [00:25:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [00:25:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 140 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [00:25:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [00:25:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:25:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [00:25:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:25:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 90 u1: % st: NotStopd t0: [00:25:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:30:00 24/09/2015] id: Previous Weight el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [00:35:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [00:35:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [00:35:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [00:35:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [00:35:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 123 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [00:35:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [00:35:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [00:35:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:35:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 91 u1: % st: NotStopd t0: [00:35:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:40:00 24/09/2015] id: Previous Weight el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [00:45:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:45:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:45:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:45:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [00:45:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [00:45:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [00:45:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [00:45:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 154 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [00:45:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [00:45:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:45:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [00:45:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:45:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [00:45:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [01:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [01:00:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 157 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [01:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [01:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [01:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [01:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:05:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:05:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:10:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:10:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:15:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:15:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:20:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:20:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:25:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:25:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:35:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:35:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:45:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:45:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 23/09/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 23/09/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [23:00:00 23/09/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Grimace Scale st: NotStopd t0: [23:00:00 23/09/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Agitated st: NotStopd t0: [23:00:00 23/09/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 23/09/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 24/09/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [00:00:00 24/09/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [23:00:00 23/09/2015] tf: [23:00:00 24/09/2015] dt: 1440 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [22:00:00 23/09/2015] tf: [23:30:00 23/09/2015] dt: 90 id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 50 vu: ml t0: [23:00:00 23/09/2015] tf: [13:30:00 24/09/2015] dt: 870 id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 117.529 vu: ml t0: [22:30:00 23/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [23:00:00 23/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [23:00:00 23/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 15.5 vu: ml t0: [23:30:00 23/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 50 vu: ml t0: [00:30:00 24/09/2015] tf: [08:00:00 24/09/2015] dt: 450 id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [23:30:00 23/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 11.625 vu: ml t0: [00:00:00 24/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 24/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10.1719 vu: ml t0: [00:30:00 24/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 50 vu: ml t0: [00:30:00 24/09/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 3.4875 vu: ml t0: [00:30:00 24/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 4.35938 vu: ml t0: [01:00:00 24/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [01:00:00 24/09/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 3.4875 vu: ml t0: [01:00:00 24/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 5.32813 vu: ml t0: [01:00:00 24/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [23:00:00 23/09/2015] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: 485.5 cv: 485.5 ap: none t0: [23:00:00 23/09/2015] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 535.5 cv: 4876.03 ap: none t0: [23:00:00 23/09/2015] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 535.5 cv: 4876.03 ap: none t0: [23:00:00 23/09/2015] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: 485.5 cv: 4726.03 ap: none t0: [23:00:00 23/09/2015] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: 485.5 cv: 4726.03 ap: none t0: [23:00:00 24/09/2015] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 40 cv: 40 ap: none t0: [23:00:00 24/09/2015] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: -12.0938 cv: -12.0938 ap: none t0: [23:00:00 24/09/2015] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 2.90625 cv: 5685.84 ap: none t0: [23:00:00 24/09/2015] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 27.9062 cv: 5805.84 ap: none t0: [23:00:00 24/09/2015] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 40 cv: 1254 ap: none t0: [23:00:00 24/09/2015] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: -12.0938 cv: 4551.84 ap: none t0: [23:00:00 24/09/2015] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 40 cv: 1254 ap: none t0: [23:00:00 24/09/2015] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: -12.0938 cv: 9277.87 ap: none
t0: [01:05:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [01:05:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:05:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:05:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [01:05:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [01:05:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 86 u1: BPM st: NotStopd t0: [01:05:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [01:05:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 187 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [01:05:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [01:05:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:05:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [01:05:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:05:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 92 u1: % st: NotStopd t0: [01:05:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:10:00 24/09/2015] id: Previous Weight el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [01:15:00 24/09/2015] id: Previous Weight el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd
t0: [01:05:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:05:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [01:00:00 24/09/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [01:00:00 24/09/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [01:00:00 24/09/2015] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [01:00:00 24/09/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [01:00:00 24/09/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [01:00:00 24/09/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [01:00:00 24/09/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [01:00:00 24/09/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Ecchymotic v2: Clean and Dry st: NotStopd t0: [01:00:00 24/09/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [01:00:00 24/09/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: L Femoral st: NotStopd t0: [01:00:00 24/09/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [01:00:00 24/09/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [01:00:00 24/09/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [01:00:00 24/09/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [01:00:00 24/09/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd
t0: [00:10:00 24/09/2015] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 5.1 rs: Final st: NotStopd t0: [00:10:00 24/09/2015] id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 514 rs: Final st: NotStopd t0: [00:10:00 24/09/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 5.1 rs: Final st: NotStopd
t0: [00:10:00 24/09/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 32.5 u1: % rs: Final st: NotStopd
t0: [01:37:00 24/09/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.46 rs: Final st: NotStopd t0: [01:37:00 24/09/2015] id: CaO2 el: 0 cu: CCU cg: 140 v1: 16.2448 u1: ml/dl st: NotStopd t0: [01:37:00 24/09/2015] id: Lactic Acid Chemistry el: 0 cu: CCU cg: 140 v1: 4.8 rs: Final st: NotStopd t0: [01:37:00 24/09/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [01:37:00 24/09/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 23 rs: Final st: NotStopd t0: [01:37:00 24/09/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [01:37:00 24/09/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 83 u1: mmHg rs: Final st: NotStopd t0: [01:37:00 24/09/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.46 rs: Final st: NotStopd t0: [01:37:00 24/09/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 4.8 rs: Final st: NotStopd t0: [01:37:00 24/09/2015] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 97 u1: % rs: Final st: NotStopd
t0: [02:00:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [02:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [02:00:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [02:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 24/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 24/09/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6.975 vu: ml t0: [02:00:00 24/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6.29688 vu: ml t0: [02:00:00 24/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 160 vu: ml
t0: [02:00:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 127 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [02:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd
t0: [02:00:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:15:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [02:15:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:15:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:15:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [02:15:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [02:15:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 86 u1: BPM st: NotStopd t0: [02:15:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [02:15:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 170 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [02:15:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [02:15:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:15:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [02:15:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:15:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [02:15:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:15:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:15:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:10:00 24/09/2015] id: Creatinine Chemistry el: 0 cu: CCU cg: 140 v1: 1.4 rs: Final st: NotStopd t0: [00:10:00 24/09/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1.4 rs: Final st: NotStopd
t0: [00:10:00 24/09/2015] id: CPK/MB Enzymes el: 0 cu: CCU cg: 140 v1: 72 rs: Final st: NotStopd
t0: [23:00:00 23/09/2015] tf: [08:00:00 01/10/2015] dt: 10620 id: Imp Skin Cleanse #3 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [23:00:00 23/09/2015] tf: [08:00:00 01/10/2015] dt: 10620 id: Imp Skin Cleanse #4 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [23:00:00 23/09/2015] tf: [08:00:00 01/10/2015] dt: 10620 id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [23:00:00 23/09/2015] tf: [08:00:00 01/10/2015] dt: 10620 id: ImpSkin Character #4 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [23:00:00 23/09/2015] tf: [08:00:00 01/10/2015] dt: 10620 id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [23:00:00 23/09/2015] tf: [08:00:00 01/10/2015] dt: 10620 id: ImpSkin Treatment #4 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [23:00:00 23/09/2015] tf: [08:00:00 01/10/2015] dt: 10620 id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Red st: NotStopd t0: [23:00:00 23/09/2015] tf: [08:00:00 01/10/2015] dt: 10620 id: ImpSkin Wound Base#4 el: 0 cu: CCU cg: RN v1: Red st: NotStopd t0: [23:00:00 23/09/2015] tf: [08:00:00 01/10/2015] dt: 10620 id: Impaired Skin Site#4 el: 0 cu: CCU cg: RN v1: Extremities, Up st: NotStopd t0: [23:00:00 23/09/2015] tf: [13:52:00 14/10/2015] dt: 29692 id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Back, Lower st: NotStopd
t0: [00:00:00 24/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 150 vu: ml t0: [00:00:00 24/09/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vu: ml t0: [02:00:00 24/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml
t0: [00:10:00 24/09/2015] id: Chloride Chemistry el: 0 cu: CCU cg: 140 v1: 104 rs: Final st: NotStopd t0: [00:10:00 24/09/2015] id: Sodium Chemistry el: 0 cu: CCU cg: 140 v1: 141 rs: Final st: NotStopd t0: [00:10:00 24/09/2015] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 16 rs: Final st: NotStopd t0: [00:10:00 24/09/2015] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 104 rs: Final st: NotStopd t0: [00:10:00 24/09/2015] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 141 rs: Final st: NotStopd
id: Heparin el: 100 cu: CCU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions am: 25000 du: Uhr rt: IV Drip
io: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ra: 7.5 ru: ml/hr
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [02:00:00 24/09/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [02:00:00 24/09/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 24/09/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 24/09/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 24/09/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 24/09/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 24/09/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: None/Remarks st: NotStopd t0: [02:00:00 24/09/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [02:00:00 24/09/2015] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 24/09/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 24/09/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [02:00:00 24/09/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [02:00:00 24/09/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [02:00:00 24/09/2015] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [03:00:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [03:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [03:00:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [03:00:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [03:00:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 156 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [03:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [03:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [03:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 24/09/2015] id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd t0: [03:00:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 24/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 500 vu: ml t0: [03:00:00 24/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [03:00:00 24/09/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6.975 vu: ml t0: [03:00:00 24/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.44531 vu: ml t0: [03:00:00 24/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [03:00:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 24/09/2015] tf: [07:30:00 24/09/2015] dt: 270 id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 750 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 24/09/2015] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 22.5 u1: ml/cmH st: NotStopd t0: [04:00:00 24/09/2015] tf: [13:52:00 14/10/2015] dt: 29392 id: RSBI Not Completed el: 0 cu: CCU cg: RRT v1: PEEP >10 st: NotStopd t0: [04:00:00 24/09/2015] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [04:00:00 24/09/2015] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [04:00:00 24/09/2015] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 24/09/2015] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 24/09/2015] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 24/09/2015] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 24/09/2015] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [04:00:00 24/09/2015] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:00:00 24/09/2015] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 6 st: NotStopd t0: [04:00:00 24/09/2015] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [04:00:00 24/09/2015] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 14.3 u1: cmH2O st: NotStopd t0: [04:00:00 24/09/2015] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [04:00:00 24/09/2015] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 24/09/2015] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 60 u1: L/m st: NotStopd t0: [04:00:00 24/09/2015] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [04:00:00 24/09/2015] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 24/09/2015] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 24/09/2015] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 24/09/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 24/09/2015] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RRT v1: 99 u1: % st: NotStopd t0: [04:00:00 24/09/2015] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [04:00:00 24/09/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [04:00:00 24/09/2015] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 24/09/2015] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 3 u1: # st: NotStopd t0: [04:00:00 24/09/2015] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [04:00:00 24/09/2015] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [02:00:00 24/09/2015] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [02:00:00 24/09/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 24/09/2015] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [02:00:00 24/09/2015] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 24/09/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [02:00:00 24/09/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 24/09/2015] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 24/09/2015] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 24/09/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 24/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [04:00:00 24/09/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [04:00:00 24/09/2015] id: Range of Motion el: 0 cu: CCU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 24/09/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Grimace Scale st: NotStopd t0: [04:00:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [04:00:00 24/09/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 24/09/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Agitated st: NotStopd t0: [04:00:00 24/09/2015] tf: [13:52:00 14/10/2015] dt: 29392 id: GI Prophylaxis el: 1 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 24/09/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 24/09/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [04:00:00 24/09/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Weak Palpable st: NotStopd t0: [04:00:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 24/09/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 24/09/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [04:00:00 24/09/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 24/09/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 24/09/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 24/09/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 24/09/2015] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [04:00:00 24/09/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [04:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [04:00:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 24/09/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 24/09/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [04:00:00 24/09/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [04:00:00 24/09/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 24/09/2015] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [04:00:00 24/09/2015] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [04:00:00 24/09/2015] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 24/09/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [04:00:00 24/09/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 24/09/2015] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [04:00:00 24/09/2015] id: ImpSkin Character #2 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [04:00:00 24/09/2015] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [04:00:00 24/09/2015] id: ImpSkin Character #4 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [04:00:00 24/09/2015] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 24/09/2015] id: ImpSkin Treatment #2 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 24/09/2015] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 24/09/2015] id: ImpSkin Treatment #4 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 24/09/2015] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Red st: NotStopd t0: [04:00:00 24/09/2015] id: ImpSkin Wound Base#2 el: 0 cu: CCU cg: RN v1: Red st: NotStopd t0: [04:00:00 24/09/2015] id: ImpSkin Wound Base#4 el: 0 cu: CCU cg: RN v1: Red st: NotStopd t0: [04:00:00 24/09/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Breast st: NotStopd t0: [04:00:00 24/09/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [04:00:00 24/09/2015] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Extremities, Up st: NotStopd t0: [04:00:00 24/09/2015] id: Impaired Skin Site#4 el: 0 cu: CCU cg: RN v1: Back, Lower st: NotStopd t0: [04:00:00 24/09/2015] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 24/09/2015] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 24/09/2015] id: Inc Dsg/Status #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 24/09/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 24/09/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 24/09/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 24/09/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 24/09/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Ecchymotic v2: Clean and Dry st: NotStopd t0: [04:00:00 24/09/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 24/09/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [04:00:00 24/09/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 24/09/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 24/09/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: L Femoral st: NotStopd t0: [04:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 150 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [04:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [04:00:00 24/09/2015] id: Position Change el: 0 cu: CCU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 24/09/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Weak Palpable st: NotStopd t0: [04:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [04:00:00 24/09/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [04:00:00 24/09/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 24/09/2015] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 24/09/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 24/09/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 24/09/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 24/09/2015] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 24/09/2015] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 24/09/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 24/09/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 24/09/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thin st: NotStopd t0: [04:00:00 24/09/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 24/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [04:00:00 24/09/2015] id: Transcut Pad Place el: 0 cu: CCU cg: RN v1: Anterior Apex st: NotStopd t0: [04:00:00 24/09/2015] id: Transcutan Pacer el: 0 cu: CCU cg: RN v1: ON st: NotStopd t0: [04:00:00 24/09/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 24/09/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 24/09/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 24/09/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 24/09/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [05:00:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [05:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:00:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [05:00:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 151 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [05:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [05:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:00:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [05:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [05:00:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 24/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 500 vu: ml t0: [04:00:00 24/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 24/09/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6.975 vu: ml t0: [04:00:00 24/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8.71875 vu: ml t0: [04:00:00 24/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 85 vu: ml t0: [05:00:00 24/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [05:00:00 24/09/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6.975 vu: ml t0: [05:00:00 24/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8.71875 vu: ml t0: [05:00:00 24/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml
t0: [04:00:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 24/09/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 750 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 24/09/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 750 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:56:00 24/09/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.46 rs: Final st: NotStopd t0: [05:56:00 24/09/2015] id: Lactic Acid Chemistry el: 0 cu: CCU cg: 140 v1: 3.5 rs: Final st: NotStopd t0: [05:56:00 24/09/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [05:56:00 24/09/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 23 rs: Final st: NotStopd t0: [05:56:00 24/09/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [05:56:00 24/09/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 143 u1: mmHg rs: Final st: NotStopd t0: [05:56:00 24/09/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.46 rs: Final st: NotStopd t0: [05:56:00 24/09/2015] tf: [13:52:00 14/10/2015] dt: 29276 id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 0.98 rs: Final st: NotStopd t0: [05:56:00 24/09/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 3.5 rs: Final st: NotStopd t0: [05:56:00 24/09/2015] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 98 u1: % rs: Final st: NotStopd
t0: [06:00:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [06:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:00:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Frequent st: NotStopd t0: [06:00:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [06:00:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 148 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [06:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [06:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [06:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [06:00:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 24/09/2015] tf: [07:30:00 24/09/2015] dt: 210 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [04:00:00 24/09/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 7.5 vu: ml t0: [05:00:00 24/09/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 7.5 vu: ml t0: [06:00:00 24/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 24/09/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 7.5 vu: ml t0: [06:00:00 24/09/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6.975 vu: ml t0: [06:00:00 24/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.3 vu: ml
t0: [06:00:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 24/09/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 750 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [07:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:00:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Frequent st: NotStopd t0: [07:00:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [07:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [07:00:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 149 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [07:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [07:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [07:00:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [07:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [07:00:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 24/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 250 vu: ml t0: [07:00:00 24/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [07:00:00 24/09/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 7.5 vu: ml t0: [07:00:00 24/09/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6.975 vu: ml t0: [07:00:00 24/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.3 vu: ml
t0: [07:00:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 24/09/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 750 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:52:00 24/09/2015] id: PT el: 0 cu: CCU cg: 140 v1: 18.3 rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: INR Coags el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: PTT Coags el: 0 cu: CCU cg: 140 v1: 130.9 rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 18.3 rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 130.9 rs: Final st: NotStopd t0: [06:00:00 24/09/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 59.5 u1: kg st: NotStopd t0: [07:00:00 24/09/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 59.5 u1: kg st: NotStopd
t0: [07:00:00 24/09/2015] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 19.5652 u1: ml/cmH st: NotStopd t0: [07:00:00 24/09/2015] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [07:00:00 24/09/2015] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [07:00:00 24/09/2015] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [07:00:00 24/09/2015] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [07:00:00 24/09/2015] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [07:00:00 24/09/2015] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [07:00:00 24/09/2015] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [07:00:00 24/09/2015] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [07:00:00 24/09/2015] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [07:00:00 24/09/2015] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [07:00:00 24/09/2015] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.3 u1: L/min st: NotStopd t0: [07:00:00 24/09/2015] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [07:00:00 24/09/2015] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 60 u1: L/m st: NotStopd t0: [07:00:00 24/09/2015] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [07:00:00 24/09/2015] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [07:00:00 24/09/2015] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [07:00:00 24/09/2015] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [07:00:00 24/09/2015] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [07:00:00 24/09/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [07:00:00 24/09/2015] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:00:00 24/09/2015] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [07:00:00 24/09/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [07:00:00 24/09/2015] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [07:00:00 24/09/2015] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 3 u1: # st: NotStopd t0: [07:00:00 24/09/2015] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [07:00:00 24/09/2015] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [05:52:00 24/09/2015] id: BUN el: 0 cu: CCU cg: 140 v1: 25 rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 6.5 u1: mg/dl rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: Creatinine Chemistry el: 0 cu: CCU cg: 140 v1: 1.3 rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 180 rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: Phosphorous Chemistry el: 0 cu: CCU cg: 140 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 25 rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 449 rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 6.5 u1: mg/dl rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1.3 rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 180 rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 4.2 u1: mEq/L rs: Final st: NotStopd
t0: [05:52:00 24/09/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 19.6 rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: WBC Hematology el: 0 cu: CCU cg: 140 v1: 19.6 rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 31.4 u1: % rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 446 rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.45 u1: /mic l rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 19.6 rs: Final st: NotStopd t0: [05:56:00 24/09/2015] id: CaO2 el: 0 cu: CCU cg: 140 v1: 13.7066 u1: ml/dl st: NotStopd
t0: [07:00:00 24/09/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [07:00:00 24/09/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [07:00:00 24/09/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 101 u1: Deg. F st: NotStopd
t0: [07:00:00 24/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [05:52:00 24/09/2015] id: Chloride Chemistry el: 0 cu: CCU cg: 140 v1: 106 rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: Magnesium Chemistry el: 0 cu: CCU cg: 140 v1: 1.9 rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 4.1 rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: Sodium Chemistry el: 0 cu: CCU cg: 140 v1: 143 rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 106 rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.9 rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.1 rs: Final st: NotStopd t0: [05:52:00 24/09/2015] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 143 rs: Final st: NotStopd
t0: [04:00:00 24/09/2015] tf: [13:52:00 14/10/2015] dt: 29392 id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: Vent Demand st: NotStopd t0: [04:00:00 24/09/2015] tf: [13:52:00 14/10/2015] dt: 29392 id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [07:30:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [07:30:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:30:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:30:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Frequent st: NotStopd t0: [07:30:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [07:30:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 90 u1: BPM st: NotStopd t0: [07:30:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [07:30:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 158 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [07:30:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [07:30:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [07:30:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [07:30:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [07:30:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [07:30:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:30:00 24/09/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 3.75 vu: ml st: Stopped
t0: [07:30:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:30:00 24/09/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip st: Stopped t0: [07:30:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [07:30:00 24/09/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [07:30:00 24/09/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Very Sedated st: NotStopd t0: [07:30:00 24/09/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 2 To pain st: NotStopd t0: [07:30:00 24/09/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 7 u1: points st: NotStopd t0: [07:30:00 24/09/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Pain st: NotStopd t0: [07:30:00 24/09/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Ecchymotic v2: Clean and Dry st: NotStopd t0: [07:30:00 24/09/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [07:30:00 24/09/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:30:00 24/09/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [07:30:00 24/09/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: L Femoral st: NotStopd t0: [07:30:00 24/09/2015] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: Vent Demand st: NotStopd t0: [07:30:00 24/09/2015] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [07:30:00 24/09/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [07:30:00 24/09/2015] id: Procedures el: 0 cu: CCU cg: RN v1: EKG st: NotStopd t0: [07:30:00 24/09/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [07:30:00 24/09/2015] id: Transcut Pad Place el: 0 cu: CCU cg: RN v1: Anterior Apex st: NotStopd t0: [07:30:00 24/09/2015] id: Transcutan Pacer el: 0 cu: CCU cg: RN v1: ON st: NotStopd t0: [07:30:00 24/09/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [08:00:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [08:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [08:00:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 157 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [08:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [08:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [08:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 24/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 500 vu: ml t0: [08:00:00 24/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 24/09/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6.975 vu: ml st: Stopped t0: [08:00:00 24/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.3 vu: ml
t0: [08:00:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [08:00:00 24/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 42 vu: ml
t0: [08:00:00 24/09/2015] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 24/09/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 24/09/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [08:00:00 24/09/2015] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 24/09/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 24/09/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 24/09/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [08:00:00 24/09/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 24/09/2015] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [08:00:00 24/09/2015] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [08:00:00 24/09/2015] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 24/09/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 24/09/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 24/09/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 24/09/2015] id: Imp Skin Cleanse #1 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 24/09/2015] id: Imp Skin Cleanse #2 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 24/09/2015] id: Imp Skin Cleanse #3 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 24/09/2015] id: Imp Skin Cleanse #4 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 24/09/2015] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [08:00:00 24/09/2015] id: ImpSkin Character #2 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [08:00:00 24/09/2015] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [08:00:00 24/09/2015] id: ImpSkin Character #4 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [08:00:00 24/09/2015] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 24/09/2015] id: ImpSkin Treatment #2 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 24/09/2015] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 24/09/2015] id: ImpSkin Treatment #4 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 24/09/2015] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Red st: NotStopd t0: [08:00:00 24/09/2015] id: ImpSkin Wound Base#2 el: 0 cu: CCU cg: RN v1: Purple st: NotStopd t0: [08:00:00 24/09/2015] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [08:00:00 24/09/2015] id: ImpSkin Wound Base#4 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [08:00:00 24/09/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Breast st: NotStopd t0: [08:00:00 24/09/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [08:00:00 24/09/2015] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Extremities, Up st: NotStopd t0: [08:00:00 24/09/2015] id: Impaired Skin Site#4 el: 0 cu: CCU cg: RN v1: Back, Lower st: NotStopd t0: [08:00:00 24/09/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 24/09/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [08:00:00 24/09/2015] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 24/09/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 24/09/2015] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 24/09/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 24/09/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 24/09/2015] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 24/09/2015] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 24/09/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 24/09/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 24/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [08:30:00 24/09/2015] tf: [18:00:00 24/09/2015] dt: 570 id: Transcut Pacer Rate el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 24/09/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [08:30:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [08:30:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 24/09/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:30:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:30:00 24/09/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [08:30:00 24/09/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Weak Palpable st: NotStopd t0: [08:30:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Frequent st: NotStopd t0: [08:30:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [08:30:00 24/09/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 2 To pain st: NotStopd t0: [08:30:00 24/09/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 7 u1: points st: NotStopd t0: [08:30:00 24/09/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:30:00 24/09/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:30:00 24/09/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [08:30:00 24/09/2015] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [08:30:00 24/09/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [08:30:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [08:30:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [08:30:00 24/09/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [08:30:00 24/09/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:30:00 24/09/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:30:00 24/09/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:30:00 24/09/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Ecchymotic v2: Clean and Dry st: NotStopd t0: [08:30:00 24/09/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:30:00 24/09/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:30:00 24/09/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:30:00 24/09/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:30:00 24/09/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: L Femoral st: NotStopd t0: [08:30:00 24/09/2015] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: Vent Demand st: NotStopd t0: [08:30:00 24/09/2015] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [08:30:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 126 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [08:30:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [08:30:00 24/09/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Weak Palpable st: NotStopd t0: [08:30:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:30:00 24/09/2015] id: Previous Weight el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [08:30:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [08:30:00 24/09/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [08:30:00 24/09/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:30:00 24/09/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:30:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:30:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [08:30:00 24/09/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thin st: NotStopd t0: [08:30:00 24/09/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [08:30:00 24/09/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:30:00 24/09/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [08:30:00 24/09/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [08:30:00 24/09/2015] id: Transcut Pacer Rate el: 0 cu: CCU cg: RN v1: 60 u1: BPM st: NotStopd t0: [08:30:00 24/09/2015] id: Transcut Pad Place el: 0 cu: CCU cg: RN v1: Anterior Apex st: NotStopd t0: [08:30:00 24/09/2015] id: Transcutan Pacer el: 0 cu: CCU cg: RN v1: ON st: NotStopd t0: [08:30:00 24/09/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:30:00 24/09/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:30:00 24/09/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:30:00 24/09/2015] id: Weight Change el: 0 cu: CCU cg: RN v1: 0 u1: kg st: NotStopd t0: [08:30:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:30:00 24/09/2015] id: Daily Weight el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [08:30:00 24/09/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd
t0: [08:30:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [09:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [09:00:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 128 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [09:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [09:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [09:00:00 24/09/2015] id: Radiologic Study el: 0 cu: CCU cg: RN v1: Chest Xray st: NotStopd t0: [09:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:00:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 24/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [09:00:00 24/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.3 vu: ml t0: [09:00:00 24/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 27 vu: ml
t0: [09:00:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:52:00 24/09/2015] id: CPK/MB Enzymes el: 0 cu: CCU cg: 140 v1: 54 rs: Final st: NotStopd
io: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ra: 15 ru: ml/hr
id: Promote w/fiber el: 1 cu: CCU cg: RN io: Promote w/fiber Tube Feeding du: str rt: Gastric/Feeding Tube id: TF Residual el: 1 cu: CCU cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [10:06:00 24/09/2015] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 8 u1: cmH2O st: NotStopd
t0: [10:00:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [10:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [10:00:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 134 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [10:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [10:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [10:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 24/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml nb: 1 t0: [10:00:00 24/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.3 vu: ml
t0: [10:00:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:30:00 24/09/2015] tf: [13:52:00 14/10/2015] dt: 29002 id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWker v1: 185 rs: Manual st: NotStopd
t0: [11:00:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [11:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [11:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [11:00:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 124 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [11:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [11:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [11:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 11 u1: BPM st: NotStopd t0: [11:00:00 24/09/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [11:00:00 24/09/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [11:00:00 24/09/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [11:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 24/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 21 vu: ml t0: [11:00:00 24/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.3 vu: ml t0: [11:00:00 24/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 15 vu: ml
t0: [11:00:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 24/09/2015] id: Significant Events el: 0 cu: CCU cg: RN st: NotStopd t0: [11:00:00 24/09/2015] id: Significant Events el: 0 cu: CCU cg: RN st: NotStopd
t0: [11:00:00 24/09/2015] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.5 u1: torr st: NotStopd
t0: [10:00:00 24/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 250 vu: ml t0: [11:00:00 24/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 500 vu: ml nb: 1 t0: [11:00:00 24/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 50 vu: ml
t0: [11:00:00 24/09/2015] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 18.75 u1: ml/cmH st: NotStopd t0: [11:00:00 24/09/2015] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [11:00:00 24/09/2015] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [11:00:00 24/09/2015] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [11:00:00 24/09/2015] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [11:00:00 24/09/2015] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [11:00:00 24/09/2015] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [11:00:00 24/09/2015] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [11:00:00 24/09/2015] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [11:00:00 24/09/2015] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [11:00:00 24/09/2015] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [11:00:00 24/09/2015] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [11:00:00 24/09/2015] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 60 u1: L/m st: NotStopd t0: [11:00:00 24/09/2015] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [11:00:00 24/09/2015] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [11:00:00 24/09/2015] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [11:00:00 24/09/2015] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [11:00:00 24/09/2015] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [11:00:00 24/09/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [11:00:00 24/09/2015] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:00:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RRT v1: 99 u1: % st: NotStopd t0: [11:00:00 24/09/2015] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [11:00:00 24/09/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [11:00:00 24/09/2015] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [11:00:00 24/09/2015] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 3 u1: # st: NotStopd t0: [11:00:00 24/09/2015] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [11:00:00 24/09/2015] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [12:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 75 u1: BPM st: NotStopd t0: [12:00:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 125 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [12:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [12:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [12:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 24/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 100 vu: ml t0: [12:00:00 24/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.3 vu: ml t0: [12:00:00 24/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 31 vu: ml
t0: [12:00:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [13:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [13:00:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [13:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [13:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:00:00 24/09/2015] id: Significant Events el: 0 cu: CCU cg: RN st: NotStopd t0: [13:00:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 24/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [13:00:00 24/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [13:00:00 24/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 100 vu: ml t0: [13:00:00 24/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 4.65 vu: ml t0: [13:00:00 24/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 26 vu: ml
t0: [13:00:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:30:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [13:30:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:30:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [13:30:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [13:30:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 104 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [13:30:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [13:30:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:30:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [13:30:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:30:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [13:30:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:30:00 24/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 1.1625 vu: ml st: Stopped
t0: [13:30:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [13:44:00 24/09/2015] id: BSA el: 1033 cu: CCU cg: -1 v1: 1.6097 u1: m2 t0: [13:44:00 24/09/2015] id: Admit Wt el: 1032 cu: CCU cg: -1 v1: 62 u1: kg t0: [13:44:00 24/09/2015] id: Allergy 1 el: 1020 cu: CCU cg: -1 t0: [13:44:00 24/09/2015] id: Diagnosis/op el: 1023 cu: CCU cg: -1 v1: CHF,PNEUMONIA t0: [13:44:00 24/09/2015] id: Service el: 1026 cu: CCU cg: -1 v1: CME t0: [13:44:00 24/09/2015] id: Admit Ht el: 1034 cu: CCU cg: -1 v1: 54 u1: inches t0: [13:44:00 24/09/2015] id: Readmission el: 1014 cu: CCU cg: -1 v1: No t0: [13:44:00 24/09/2015] id: Marital Status el: 1006 cu: CCU cg: -1 v1: M t0: [13:44:00 24/09/2015] id: Religion el: 1000 cu: CCU cg: -1 v1: RCA t0: [13:44:00 24/09/2015] id: Allergy 2 el: 1021 cu: CCU cg: -1 t0: [13:44:00 24/09/2015] id: Ext el: 1010 cu: CCU cg: -1 t0: [13:44:00 24/09/2015] id: PIN el: 1012 cu: CCU cg: -1 t0: [13:44:00 24/09/2015] id: Allergy 3 el: 1022 cu: CCU cg: -1
t0: [13:45:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [13:45:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:45:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:45:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [13:45:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [13:45:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [13:45:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [13:45:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:45:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [13:45:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:45:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [13:45:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:45:00 24/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 500 vu: ml nb: 1
t0: [14:00:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [14:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [14:00:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 96 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [14:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [14:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [14:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:00:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 24/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 100 vu: ml t0: [14:00:00 24/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 33 vu: ml
t0: [14:04:00 24/09/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.52 rs: Final st: NotStopd t0: [14:04:00 24/09/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [14:04:00 24/09/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 22 rs: Final st: NotStopd t0: [14:04:00 24/09/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 26 u1: mmHg rs: Final st: NotStopd t0: [14:04:00 24/09/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 124 u1: mmHg rs: Final st: NotStopd t0: [14:04:00 24/09/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.52 rs: Final st: NotStopd
t0: [14:04:00 24/09/2015] id: Lactic Acid Chemistry el: 0 cu: CCU cg: 140 v1: 1.9 rs: Final st: NotStopd t0: [14:04:00 24/09/2015] id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 1.02 rs: Final st: NotStopd t0: [14:04:00 24/09/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 1.9 rs: Final st: NotStopd
t0: [14:21:00 24/09/2015] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 18.75 u1: ml/cmH st: NotStopd t0: [14:21:00 24/09/2015] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [14:21:00 24/09/2015] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [14:21:00 24/09/2015] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [14:21:00 24/09/2015] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [14:21:00 24/09/2015] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [14:21:00 24/09/2015] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [14:21:00 24/09/2015] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [14:21:00 24/09/2015] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [14:21:00 24/09/2015] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [14:21:00 24/09/2015] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [14:21:00 24/09/2015] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 4.9 u1: L/min st: NotStopd t0: [14:21:00 24/09/2015] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [14:21:00 24/09/2015] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [14:21:00 24/09/2015] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [14:21:00 24/09/2015] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [14:21:00 24/09/2015] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [14:21:00 24/09/2015] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [14:21:00 24/09/2015] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [14:21:00 24/09/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [14:21:00 24/09/2015] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [14:21:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RRT v1: 98 u1: % st: NotStopd t0: [14:21:00 24/09/2015] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [14:21:00 24/09/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [14:21:00 24/09/2015] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [14:21:00 24/09/2015] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 3 u1: # st: NotStopd t0: [14:21:00 24/09/2015] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [14:21:00 24/09/2015] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [14:00:00 24/09/2015] id: Significant Events el: 0 cu: CCU cg: RN st: NotStopd t0: [14:00:00 24/09/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [14:00:00 24/09/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [14:00:00 24/09/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.3 u1: Deg. F st: NotStopd
t0: [14:00:00 24/09/2015] id: PT el: 0 cu: CCU cg: 140 v1: 15.9 rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: INR Coags el: 0 cu: CCU cg: 140 v1: 1.7 rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: PTT Coags el: 0 cu: CCU cg: 140 v1: 30.6 rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.7 rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 15.9 rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 30.6 rs: Final st: NotStopd
t0: [15:00:00 24/09/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 0 st: D/C'd t0: [15:00:00 24/09/2015] id: Pre-Admission Output Pre-Admission Output el: 1 cu: CCU cg: -1 vo: 0 st: D/C'd
t0: [14:00:00 24/09/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 13.5 rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: WBC Hematology el: 0 cu: CCU cg: 140 v1: 13.5 rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 26.1 u1: % rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 8.5 u1: gm/dl rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 355 rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 2.9 u1: /mic l rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 13.5 rs: Final st: NotStopd
t0: [08:00:00 24/09/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [11:00:00 24/09/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thin st: NotStopd t0: [11:00:00 24/09/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 24/09/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [14:00:00 24/09/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thin st: NotStopd t0: [14:00:00 24/09/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [15:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 24/09/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [15:00:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [15:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [15:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [15:00:00 24/09/2015] id: Procedures el: 0 cu: CCU cg: RN v1: Cardiac Echo st: NotStopd t0: [15:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:00:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [15:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 24/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 100 vu: ml t0: [15:00:00 24/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [15:00:00 24/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 37 vu: ml
t0: [14:00:00 24/09/2015] id: BUN el: 0 cu: CCU cg: 140 v1: 25 rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: Chloride Chemistry el: 0 cu: CCU cg: 140 v1: 112 rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: Creatinine Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 148 rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: Magnesium Chemistry el: 0 cu: CCU cg: 140 v1: 1.6 rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: Phosphorous Chemistry el: 0 cu: CCU cg: 140 v1: 3 u1: mEq/L rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 3.5 rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: Sodium Chemistry el: 0 cu: CCU cg: 140 v1: 144 rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 25 rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 112 rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 148 rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.6 rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3 u1: mEq/L rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.5 rs: Final st: NotStopd t0: [14:00:00 24/09/2015] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 144 rs: Final st: NotStopd
t0: [15:40:00 24/09/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.43 rs: Final st: NotStopd t0: [15:40:00 24/09/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [15:40:00 24/09/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 25 rs: Final st: NotStopd t0: [15:40:00 24/09/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [15:40:00 24/09/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 80 u1: mmHg rs: Final st: NotStopd t0: [15:40:00 24/09/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.43 rs: Final st: NotStopd
t0: [16:00:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 96 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [16:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [16:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [16:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:00:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 24/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 100 vu: ml t0: [16:00:00 24/09/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [16:00:00 24/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 22 vu: ml
t0: [16:00:00 24/09/2015] tf: [20:30:00 24/09/2015] dt: 270 id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [15:56:00 24/09/2015] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 20.4545 u1: ml/cmH st: NotStopd t0: [15:56:00 24/09/2015] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [15:56:00 24/09/2015] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [15:56:00 24/09/2015] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [15:56:00 24/09/2015] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [15:56:00 24/09/2015] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [15:56:00 24/09/2015] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [15:56:00 24/09/2015] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [15:56:00 24/09/2015] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [15:56:00 24/09/2015] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [15:56:00 24/09/2015] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [15:56:00 24/09/2015] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 5.1 u1: L/min st: NotStopd t0: [15:56:00 24/09/2015] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [15:56:00 24/09/2015] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [15:56:00 24/09/2015] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [15:56:00 24/09/2015] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [15:56:00 24/09/2015] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [15:56:00 24/09/2015] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 2 u1: . st: NotStopd t0: [15:56:00 24/09/2015] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [15:56:00 24/09/2015] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [15:56:00 24/09/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [15:56:00 24/09/2015] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [15:56:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RRT v1: 95 u1: % st: NotStopd t0: [15:56:00 24/09/2015] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 430 u1: ml/B st: NotStopd t0: [15:56:00 24/09/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [15:56:00 24/09/2015] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [15:56:00 24/09/2015] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 3 u1: # st: NotStopd t0: [15:56:00 24/09/2015] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [15:56:00 24/09/2015] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [16:30:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:30:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:30:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 73 u1: BPM st: NotStopd t0: [16:30:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [16:30:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 128 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [16:30:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [16:30:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:30:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [16:30:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [16:30:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [16:30:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 90 u1: BPM st: NotStopd t0: [17:00:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 112 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [17:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [17:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:00:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:30:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:30:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:30:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 94 u1: BPM st: NotStopd t0: [17:30:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [17:30:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [17:30:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [17:30:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:30:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [17:30:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:30:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [18:00:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [18:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [18:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 24/09/2015] id: Previous Weight el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [18:00:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [18:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [18:00:00 24/09/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [18:00:00 24/09/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [18:00:00 24/09/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [18:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 24/09/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 159 rs: Manual st: NotStopd
t0: [18:00:00 24/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 200 vu: ml t0: [18:00:00 24/09/2015] tf: [21:00:00 24/09/2015] dt: 180 id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 13.95 vu: ml
t0: [17:00:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:30:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 24/09/2015] id: IV #1 Reason DC'D el: 0 cu: CCU cg: -1 st: D/C'd t0: [18:00:00 24/09/2015] id: IV #1 D/C Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [18:00:00 24/09/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [18:00:00 24/09/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 st: D/C'd t0: [18:00:00 24/09/2015] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 st: D/C'd t0: [18:00:00 24/09/2015] id: Transcut Pacer Rate el: 0 cu: CCU cg: -1 st: D/C'd t0: [18:00:00 24/09/2015] id: Transcut Pad Place el: 0 cu: CCU cg: -1 st: D/C'd t0: [18:00:00 24/09/2015] id: Transcutan Pacer el: 0 cu: CCU cg: -1 st: D/C'd
t0: [10:00:00 24/09/2015] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 24/09/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 24/09/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Breast st: NotStopd t0: [10:00:00 24/09/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [10:00:00 24/09/2015] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Extremities, Up st: NotStopd t0: [10:00:00 24/09/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 24/09/2015] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 24/09/2015] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 24/09/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 24/09/2015] tf: [13:52:00 14/10/2015] dt: 28792 id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 24/09/2015] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 24/09/2015] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 24/09/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 24/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [12:00:00 24/09/2015] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 24/09/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 24/09/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 24/09/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 24/09/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [12:00:00 24/09/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Breast st: NotStopd t0: [12:00:00 24/09/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [12:00:00 24/09/2015] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Extremities, Up st: NotStopd t0: [12:00:00 24/09/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 24/09/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 24/09/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [12:00:00 24/09/2015] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 24/09/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 24/09/2015] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 24/09/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 24/09/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 24/09/2015] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 24/09/2015] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 24/09/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 24/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [12:00:00 24/09/2015] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 24/09/2015] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 24/09/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 24/09/2015] tf: [13:52:00 14/10/2015] dt: 28792 id: Communication el: 0 cu: CCU cg: RN v1: Nodding st: NotStopd t0: [14:00:00 24/09/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [14:00:00 24/09/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [18:00:00 24/09/2015] tf: [13:52:00 14/10/2015] dt: 28552 id: Eye Care el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [14:00:00 24/09/2015] tf: [13:52:00 14/10/2015] dt: 28792 id: Flatus el: 0 cu: CCU cg: RN v1: Positive st: NotStopd t0: [14:00:00 24/09/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [14:00:00 24/09/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [14:00:00 24/09/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 24/09/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [14:00:00 24/09/2015] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [14:00:00 24/09/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [14:00:00 24/09/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [14:00:00 24/09/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Breast st: NotStopd t0: [14:00:00 24/09/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [14:00:00 24/09/2015] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Extremities, Up st: NotStopd t0: [14:00:00 24/09/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 24/09/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 24/09/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 24/09/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [14:00:00 24/09/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Other/Remarks v2: Clean and Dry st: NotStopd t0: [14:00:00 24/09/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [14:00:00 24/09/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [18:00:00 24/09/2015] tf: [13:52:00 14/10/2015] dt: 28552 id: Oral Care el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 24/09/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 24/09/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: L Femoral st: NotStopd t0: [14:00:00 24/09/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 24/09/2015] tf: [13:52:00 14/10/2015] dt: 28792 id: Pacer Rate el: 0 cu: CCU cg: RN v1: Vent Demand st: NotStopd t0: [14:00:00 24/09/2015] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [14:00:00 24/09/2015] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 60 u1: BPM st: NotStopd t0: [14:00:00 24/09/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [14:00:00 24/09/2015] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 24/09/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 24/09/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 24/09/2015] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 24/09/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 24/09/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [14:00:00 24/09/2015] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Withdraws st: NotStopd t0: [14:00:00 24/09/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 24/09/2015] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 24/09/2015] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 24/09/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 24/09/2015] tf: [13:52:00 14/10/2015] dt: 28792 id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 24/09/2015] tf: [13:52:00 14/10/2015] dt: 28792 id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [14:00:00 24/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [14:00:00 24/09/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 24/09/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 24/09/2015] tf: [13:52:00 14/10/2015] dt: 28792 id: Vent Sens/Capture el: 0 cu: CCU cg: RN v1: Yes v2: Yes st: NotStopd t0: [14:00:00 24/09/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 24/09/2015] tf: [13:52:00 14/10/2015] dt: 28792 id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 24/09/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [15:00:00 24/09/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [15:00:00 24/09/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [15:00:00 24/09/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [15:00:00 24/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 24/09/2015] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 24/09/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 24/09/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Fam Talked to MD st: NotStopd t0: [16:00:00 24/09/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [17:00:00 24/09/2015] tf: [13:52:00 14/10/2015] dt: 28612 id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [17:00:00 24/09/2015] tf: [13:52:00 14/10/2015] dt: 28612 id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 24/09/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [16:00:00 24/09/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 24/09/2015] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [16:00:00 24/09/2015] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [16:00:00 24/09/2015] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 24/09/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 24/09/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 24/09/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 24/09/2015] id: Imp Skin Cleanse #1 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 24/09/2015] id: Imp Skin Cleanse #2 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 24/09/2015] id: Imp Skin Cleanse #3 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 24/09/2015] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [16:00:00 24/09/2015] id: ImpSkin Character #2 el: 0 cu: CCU cg: RN v1: Petechiae st: NotStopd t0: [16:00:00 24/09/2015] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [16:00:00 24/09/2015] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 24/09/2015] id: ImpSkin Treatment #2 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 24/09/2015] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 24/09/2015] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Red st: NotStopd t0: [16:00:00 24/09/2015] id: ImpSkin Wound Base#2 el: 0 cu: CCU cg: RN v1: Purple st: NotStopd t0: [16:00:00 24/09/2015] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Red st: NotStopd t0: [16:00:00 24/09/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Breast st: NotStopd t0: [16:00:00 24/09/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [16:00:00 24/09/2015] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Extremities, Up st: NotStopd t0: [16:00:00 24/09/2015] id: Inc Cleansing #1 el: 0 cu: CCU cg: RN v1: Betadine st: NotStopd t0: [16:00:00 24/09/2015] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 24/09/2015] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 24/09/2015] id: Inc Dsg/Status #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 24/09/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 24/09/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 24/09/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [16:00:00 24/09/2015] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 24/09/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 24/09/2015] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 24/09/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 24/09/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 24/09/2015] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 24/09/2015] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 24/09/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 24/09/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 24/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [16:00:00 24/09/2015] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 24/09/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 24/09/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 24/09/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 24/09/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 24/09/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Very Poor st: NotStopd t0: [16:00:00 24/09/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 9 u1: number st: NotStopd t0: [16:00:00 24/09/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Comp. Limited st: NotStopd t0: [17:00:00 24/09/2015] tf: [13:52:00 14/10/2015] dt: 28612 id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [17:00:00 24/09/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 24 st: NotStopd t0: [17:00:00 24/09/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [17:00:00 24/09/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [17:00:00 24/09/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 24/09/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [17:00:00 24/09/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [17:00:00 24/09/2015] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [17:00:00 24/09/2015] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [17:00:00 24/09/2015] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [17:00:00 24/09/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [17:00:00 24/09/2015] id: Procedures el: 0 cu: CCU cg: RN v1: Line Placement st: NotStopd t0: [18:00:00 24/09/2015] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 24/09/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 24/09/2015] id: Communication el: 0 cu: CCU cg: RN v1: Nodding st: NotStopd t0: [18:00:00 24/09/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [18:00:00 24/09/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [18:00:00 24/09/2015] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 24/09/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [18:00:00 24/09/2015] id: Flatus el: 0 cu: CCU cg: RN v1: Positive st: NotStopd t0: [18:00:00 24/09/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [18:00:00 24/09/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [18:00:00 24/09/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 24/09/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [18:00:00 24/09/2015] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [18:00:00 24/09/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [18:00:00 24/09/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [18:00:00 24/09/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [18:00:00 24/09/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 24/09/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Breast st: NotStopd t0: [18:00:00 24/09/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [18:00:00 24/09/2015] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Extremities, Up st: NotStopd t0: [18:00:00 24/09/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 24/09/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 24/09/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 24/09/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [18:00:00 24/09/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [18:00:00 24/09/2015] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 24/09/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 24/09/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 24/09/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: L Femoral st: NotStopd t0: [18:00:00 24/09/2015] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: Vent Demand st: NotStopd t0: [18:00:00 24/09/2015] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [18:00:00 24/09/2015] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 60 u1: BPM st: NotStopd t0: [18:00:00 24/09/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [18:00:00 24/09/2015] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 24/09/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 24/09/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 24/09/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 24/09/2015] id: Radiologic Study el: 0 cu: CCU cg: RN v1: Chest Xray st: NotStopd t0: [18:00:00 24/09/2015] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 24/09/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 24/09/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [18:00:00 24/09/2015] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Withdraws st: NotStopd t0: [18:00:00 24/09/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 24/09/2015] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 24/09/2015] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 24/09/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 24/09/2015] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 24/09/2015] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [18:00:00 24/09/2015] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Golden v2: Liquid st: NotStopd t0: [18:00:00 24/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [18:00:00 24/09/2015] id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd t0: [18:00:00 24/09/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 24/09/2015] id: Vent Sens/Capture el: 0 cu: CCU cg: RN v1: Yes v2: Yes st: NotStopd t0: [18:00:00 24/09/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 24/09/2015] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 24/09/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [19:00:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [19:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [19:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [19:00:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [19:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [19:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:00:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [19:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [19:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 24/09/2015] tf: [01:00:00 25/09/2015] dt: 360 id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 15 vu: ml st: Stopped t0: [18:00:00 24/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [19:00:00 24/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 100 vu: ml t0: [19:00:00 24/09/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6.975 vu: ml t0: [19:00:00 24/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 15 vu: ml t0: [19:00:00 24/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 240 vu: ml
t0: [19:00:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 24/09/2015] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 18.75 u1: ml/cmH st: NotStopd t0: [20:00:00 24/09/2015] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [20:00:00 24/09/2015] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 24/09/2015] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 24/09/2015] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 24/09/2015] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 24/09/2015] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 24/09/2015] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:00:00 24/09/2015] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 24/09/2015] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [20:00:00 24/09/2015] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 12.7 u1: cmH2O st: NotStopd t0: [20:00:00 24/09/2015] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 6.5 u1: L/min st: NotStopd t0: [20:00:00 24/09/2015] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 24/09/2015] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [20:00:00 24/09/2015] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [20:00:00 24/09/2015] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [20:00:00 24/09/2015] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 24/09/2015] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 24/09/2015] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 24/09/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 24/09/2015] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RRT v1: 98 u1: % st: NotStopd t0: [20:00:00 24/09/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Brown v2: Thick st: NotStopd t0: [20:00:00 24/09/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 24/09/2015] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [20:00:00 24/09/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [20:00:00 24/09/2015] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 24/09/2015] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 3 u1: # st: NotStopd t0: [20:00:00 24/09/2015] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 24/09/2015] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [20:33:00 24/09/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.43 rs: Final st: NotStopd t0: [20:33:00 24/09/2015] id: CaO2 el: 0 cu: CCU cg: 140 v1: 10.671 u1: ml/dl st: NotStopd t0: [20:33:00 24/09/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [20:33:00 24/09/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 25 rs: Final st: NotStopd t0: [20:33:00 24/09/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [20:33:00 24/09/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 62 u1: mmHg rs: Final st: NotStopd t0: [20:33:00 24/09/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.43 rs: Final st: NotStopd t0: [20:33:00 24/09/2015] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 92 u1: % rs: Final st: NotStopd
t0: [20:00:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 96 u1: BPM st: NotStopd t0: [20:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [20:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [20:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [20:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [20:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:30:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:30:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:30:00 24/09/2015] id: Communication el: 0 cu: CCU cg: RN v1: Nodding st: NotStopd t0: [20:30:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:30:00 24/09/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [20:30:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Runs Vtach st: NotStopd t0: [20:30:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [20:30:00 24/09/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [20:30:00 24/09/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [20:30:00 24/09/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:30:00 24/09/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:30:00 24/09/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [20:30:00 24/09/2015] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [20:30:00 24/09/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [20:30:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 140 u1: BPM st: NotStopd t0: [20:30:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [20:30:00 24/09/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [20:30:00 24/09/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:30:00 24/09/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [20:30:00 24/09/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:30:00 24/09/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [20:30:00 24/09/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:30:00 24/09/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:30:00 24/09/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: L Femoral st: NotStopd t0: [20:30:00 24/09/2015] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: Vent Demand st: NotStopd t0: [20:30:00 24/09/2015] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [20:30:00 24/09/2015] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 60 u1: BPM st: NotStopd t0: [20:30:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 80 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [20:30:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [20:30:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:30:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [20:30:00 24/09/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:30:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [20:30:00 24/09/2015] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Withdraws st: NotStopd t0: [20:30:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 87 u1: % st: NotStopd t0: [20:30:00 24/09/2015] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [20:30:00 24/09/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:30:00 24/09/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:30:00 24/09/2015] id: Vent Sens/Capture el: 0 cu: CCU cg: RN v1: Yes v2: Yes st: NotStopd t0: [20:30:00 24/09/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:30:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:30:00 24/09/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [20:00:00 24/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 100 vu: ml t0: [20:00:00 24/09/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6.975 vu: ml t0: [20:00:00 24/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 15 vu: ml t0: [20:30:00 24/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 500 vu: ml t0: [20:30:00 24/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [20:30:00 24/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [20:00:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:30:00 24/09/2015] tf: [22:00:00 24/09/2015] dt: 90 id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:30:00 24/09/2015] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [20:45:00 24/09/2015] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd
t0: [20:00:00 24/09/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [20:00:00 24/09/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Grimace Scale st: NotStopd t0: [20:00:00 24/09/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 24/09/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:30:00 24/09/2015] id: Range of Motion el: 0 cu: CCU cg: RN v1: Not Done st: NotStopd t0: [20:30:00 24/09/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:30:00 24/09/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Breast st: NotStopd t0: [20:30:00 24/09/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [20:30:00 24/09/2015] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Extremities, Up st: NotStopd t0: [20:30:00 24/09/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:30:00 24/09/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [20:30:00 24/09/2015] id: Position Change el: 0 cu: CCU cg: RN v1: Not Done st: NotStopd t0: [20:30:00 24/09/2015] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:30:00 24/09/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Not Done st: NotStopd t0: [20:30:00 24/09/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [20:30:00 24/09/2015] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [20:30:00 24/09/2015] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [20:30:00 24/09/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:30:00 24/09/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [20:30:00 24/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [20:30:00 24/09/2015] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [20:30:00 24/09/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [21:00:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [21:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:00:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [21:00:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 24/09/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 24/09/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 103 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [21:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [21:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 24/09/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 24/09/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [21:00:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [21:00:00 24/09/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [21:00:00 24/09/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [21:00:00 24/09/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [21:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 24/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 100 vu: ml t0: [21:00:00 24/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 25 vu: ml t0: [21:00:00 24/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 30 vu: ml
t0: [21:00:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [21:30:00 24/09/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [21:30:00 24/09/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [22:00:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [22:00:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 112 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [22:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [22:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [22:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 24/09/2015] tf: [13:52:00 14/10/2015] dt: 28312 id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 2.90625 vu: ml t0: [22:00:00 24/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 25 vu: ml
t0: [22:00:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [22:30:00 24/09/2015] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 20.4545 u1: ml/cmH st: NotStopd t0: [22:30:00 24/09/2015] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [22:30:00 24/09/2015] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [22:30:00 24/09/2015] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [22:30:00 24/09/2015] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [22:30:00 24/09/2015] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [22:30:00 24/09/2015] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [22:30:00 24/09/2015] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [22:30:00 24/09/2015] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [22:30:00 24/09/2015] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [22:30:00 24/09/2015] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 11.5 u1: cmH2O st: NotStopd t0: [22:30:00 24/09/2015] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 5.5 u1: L/min st: NotStopd t0: [22:30:00 24/09/2015] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [22:30:00 24/09/2015] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [22:30:00 24/09/2015] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [22:30:00 24/09/2015] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [22:30:00 24/09/2015] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [22:30:00 24/09/2015] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [22:30:00 24/09/2015] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [22:30:00 24/09/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [22:30:00 24/09/2015] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [22:30:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RRT v1: 96 u1: % st: NotStopd t0: [22:30:00 24/09/2015] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [22:30:00 24/09/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [22:30:00 24/09/2015] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [22:30:00 24/09/2015] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 3 u1: # st: NotStopd t0: [22:30:00 24/09/2015] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [22:30:00 24/09/2015] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [23:00:00 24/09/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWker v1: 149 rs: Manual st: NotStopd
t0: [22:30:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:30:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:30:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:30:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [22:30:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [22:30:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [22:30:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [22:30:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 79 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [22:30:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 48 u1: mmHg st: NotStopd t0: [22:30:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:30:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [22:30:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [22:30:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 24/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [23:00:00 24/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 24/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 24/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [23:00:00 24/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 24/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [23:00:00 24/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 24/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 104 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [23:00:00 24/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [23:00:00 24/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 24/09/2015] id: Previous Weight el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [23:00:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [23:00:00 24/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [23:00:00 24/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [23:00:00 24/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 24/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 2.90625 vu: ml t0: [23:00:00 24/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 25 vu: ml
t0: [22:30:00 24/09/2015] tf: [10:30:00 25/09/2015] dt: 720 id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 24/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 24/09/2015] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: RN pv: 25 cv: 120 ap: none
t0: [23:00:00 24/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 40 vu: ml
t0: [00:00:00 25/09/2015] id: INV#3Chg o/Wire Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [00:00:00 25/09/2015] id: INV Line#3 Site Date el: 0 cu: CCU cg: -1 st: D/C'd
t0: [00:00:00 25/09/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 0 st: D/C'd
t0: [20:00:00 24/09/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [21:00:00 24/09/2015] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [22:00:00 24/09/2015] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [22:00:00 24/09/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 24/09/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Breast st: NotStopd t0: [22:00:00 24/09/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [22:00:00 24/09/2015] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Extremities, Up st: NotStopd t0: [22:00:00 24/09/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 24/09/2015] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [22:00:00 24/09/2015] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 24/09/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [22:00:00 24/09/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 24/09/2015] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 24/09/2015] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 24/09/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 24/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [22:00:00 24/09/2015] id: Vent Sens/Capture el: 0 cu: CCU cg: RN v1: No v2: No st: NotStopd t0: [00:00:00 25/09/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [00:00:00 25/09/2015] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 25/09/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Grimace Scale st: NotStopd t0: [00:00:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:00:00 25/09/2015] tf: [11:00:00 03/10/2015] dt: 12180 id: CVP el: 0 cu: CCU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [00:00:00 25/09/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 25/09/2015] id: Communication el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 25/09/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 25/09/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 25/09/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 25/09/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 25/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 25/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 25/09/2015] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 25/09/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 25/09/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [00:00:00 25/09/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 7 u1: points st: NotStopd t0: [00:00:00 25/09/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 25/09/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 25/09/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 25/09/2015] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [00:00:00 25/09/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [00:00:00 25/09/2015] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [00:00:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 25/09/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 25/09/2015] tf: [13:52:00 14/10/2015] dt: 28192 id: INV Line#3 D/C Date el: 0 cu: CCU cg: RN v1: 7 v2: 24 st: NotStopd t0: [00:00:00 25/09/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 25/09/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 25/09/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 25/09/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [00:00:00 25/09/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 25/09/2015] id: INV Line#3 D/C Date el: 0 cu: CCU cg: RN v1: 7 v2: 24 st: NotStopd t0: [00:00:00 25/09/2015] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [00:00:00 25/09/2015] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [00:00:00 25/09/2015] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 25/09/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 25/09/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 25/09/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 25/09/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [00:00:00 25/09/2015] id: Imp Skin Cleanse #1 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 25/09/2015] id: Imp Skin Cleanse #2 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 25/09/2015] id: Imp Skin Cleanse #3 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 25/09/2015] id: Imp Skin Cleanse #4 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 25/09/2015] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [00:00:00 25/09/2015] id: ImpSkin Character #2 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [00:00:00 25/09/2015] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [00:00:00 25/09/2015] id: ImpSkin Character #4 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [00:00:00 25/09/2015] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 25/09/2015] id: ImpSkin Treatment #2 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 25/09/2015] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 25/09/2015] id: ImpSkin Treatment #4 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 25/09/2015] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [00:00:00 25/09/2015] id: ImpSkin Wound Base#2 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [00:00:00 25/09/2015] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [00:00:00 25/09/2015] id: ImpSkin Wound Base#4 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [00:00:00 25/09/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Breast st: NotStopd t0: [00:00:00 25/09/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [00:00:00 25/09/2015] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Extremities, Up st: NotStopd t0: [00:00:00 25/09/2015] id: Impaired Skin Site#4 el: 0 cu: CCU cg: RN v1: Back, Lower st: NotStopd t0: [00:00:00 25/09/2015] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 25/09/2015] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 25/09/2015] id: Inc Dsg/Status #1 el: 0 cu: CCU cg: RN v1: None v2: Intact st: NotStopd t0: [00:00:00 25/09/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 25/09/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 25/09/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 25/09/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 25/09/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [00:00:00 25/09/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 25/09/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 25/09/2015] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 25/09/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 25/09/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 25/09/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: L Femoral st: NotStopd t0: [00:00:00 25/09/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 25/09/2015] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: Vent Demand st: NotStopd t0: [00:00:00 25/09/2015] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [00:00:00 25/09/2015] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 60 u1: BPM st: NotStopd t0: [00:00:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 105 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [00:00:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [00:00:00 25/09/2015] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 25/09/2015] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 25/09/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 25/09/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [00:00:00 25/09/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 25/09/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 25/09/2015] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 25/09/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 25/09/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 25/09/2015] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Withdraws st: NotStopd t0: [00:00:00 25/09/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 25/09/2015] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 25/09/2015] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 25/09/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 25/09/2015] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 25/09/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 25/09/2015] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 25/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [00:00:00 25/09/2015] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 25/09/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 25/09/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 25/09/2015] id: Vent Sens/Capture el: 0 cu: CCU cg: RN v1: No v2: No st: NotStopd t0: [00:00:00 25/09/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 25/09/2015] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 25/09/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [00:00:00 25/09/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 25/09/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Problem st: NotStopd t0: [00:00:00 25/09/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 25/09/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 25/09/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Very Poor st: NotStopd t0: [00:00:00 25/09/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 10 u1: number st: NotStopd t0: [00:00:00 25/09/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [21:00:00 24/09/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 7 vu: ml st: Stopped t0: [21:00:00 24/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml t0: [22:00:00 24/09/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vu: ml t0: [23:00:00 24/09/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vu: ml t0: [00:00:00 25/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 2.90625 vu: ml t0: [00:00:00 25/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 25 vu: ml
t0: [00:00:00 25/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 24/09/2015] id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd t0: [00:00:00 25/09/2015] id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd
t0: [22:00:00 24/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 55 vu: ml
io: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ra: 20 ru: ml/hr
id: .9% Normal Saline el: 2 cu: CCU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [01:00:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [01:00:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 25/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 25/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [01:00:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [01:00:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [01:00:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [01:00:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:00:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:15:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 88 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [01:15:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [01:15:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:15:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [02:00:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 25/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 25/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [02:00:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 112 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:00:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [02:00:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [02:00:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [02:00:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 24/09/2015] tf: [06:00:00 26/09/2015] dt: 1980 id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 25/09/2015] tf: [10:01:00 07/10/2015] dt: 17881 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 100 vu: ml t0: [00:00:00 25/09/2015] tf: [13:52:00 14/10/2015] dt: 28192 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [23:00:00 24/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [00:00:00 25/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 700 vu: ml t0: [00:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 25/09/2015] id: Stool Out Stool el: 1 cu: CCU cg: RN vu: ml es: Small t0: [01:00:00 25/09/2015] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 25 vu: ml t0: [01:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [01:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [01:00:00 25/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 2.90625 vu: ml t0: [02:00:00 25/09/2015] tf: [03:00:00 26/09/2015] dt: 1500 id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [02:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 25/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 3.63281 vu: ml t0: [02:00:00 25/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 35 vu: ml
t0: [01:00:00 25/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:15:00 25/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 25/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 25/09/2015] dt: 24 id: Stool Out Total el: 1 cu: CCU cg: RN cv: 0 ap: carryForward
t0: [02:00:00 25/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [02:00:00 25/09/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [02:00:00 25/09/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [02:00:00 25/09/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.1 u1: Deg. F st: NotStopd
t0: [01:30:00 25/09/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 25.6 u1: % rs: Final st: NotStopd
t0: [02:57:00 25/09/2015] tf: [13:52:00 14/10/2015] dt: 28015 id: Blood Products Hematology el: 0 cu: CCU cg: 140 v1: Y rs: Final st: NotStopd
id: Gastric Meds el: 1 cu: CCU cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube id: Packed RBC's el: 1 cu: CCU cg: RN io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [03:00:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [03:00:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [03:00:00 25/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 25/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [03:00:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [03:00:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [03:00:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [03:00:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [03:00:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [03:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [03:00:00 25/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 5.8125 vu: ml t0: [03:00:00 25/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 35 vu: ml
t0: [03:00:00 25/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 25/09/2015] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 45 cv: 45 ap: none t0: [23:00:00 25/09/2015] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: 140 pv: 58.8 cv: 58.8 ap: none t0: [23:00:00 25/09/2015] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: 140 pv: 58.8 cv: 2985.31 ap: none t0: [23:00:00 25/09/2015] dt: 24 id: 24h Total In el: 1 cu: CCU cg: 140 pv: 103.8 cv: 4760.32 ap: none t0: [23:00:00 25/09/2015] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: RN pv: 45 cv: 945 ap: none t0: [23:00:00 25/09/2015] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 45 cv: 591 ap: none t0: [23:00:00 25/09/2015] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: 140 pv: 58.8 cv: 4169.31 ap: carryForward t0: [23:00:00 25/09/2015] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 45 cv: 591 ap: carryForward t0: [23:00:00 25/09/2015] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: 140 pv: 58.8 cv: 13447.2 ap: carryForward
t0: [03:19:00 25/09/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.41 rs: Final st: NotStopd t0: [03:19:00 25/09/2015] id: Lactic Acid Chemistry el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [03:19:00 25/09/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [03:19:00 25/09/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 25 rs: Final st: NotStopd t0: [03:19:00 25/09/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [03:19:00 25/09/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 135 u1: mmHg rs: Final st: NotStopd t0: [03:19:00 25/09/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.41 rs: Final st: NotStopd t0: [03:19:00 25/09/2015] id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 1.12 rs: Final st: NotStopd t0: [03:19:00 25/09/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [03:19:00 25/09/2015] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 97 u1: % rs: Final st: NotStopd
t0: [03:30:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [03:30:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:30:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [03:30:00 25/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:30:00 25/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:30:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [03:30:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [03:30:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 103 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [03:30:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [03:30:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:30:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [03:30:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:30:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [03:30:00 25/09/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [03:30:00 25/09/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [03:30:00 25/09/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [03:30:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 25/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 25 vu: ml t0: [03:00:00 25/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [03:00:00 25/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 25 vu: ml t0: [03:30:00 25/09/2015] tf: [08:45:00 25/09/2015] dt: 315 id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 375 vu: ml nb: 1 t0: [04:00:00 25/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml
t0: [03:30:00 25/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 25/09/2015] tf: [03:00:00 09/10/2015] dt: 20160 id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 107 vo: 80 vu: ml
t0: [03:15:00 25/09/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 17.2 rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: WBC Hematology el: 0 cu: CCU cg: 140 v1: 17.2 rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 26.8 u1: % rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 8.7 u1: gm/dl rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 368 rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 2.84 u1: /mic l rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 17.2 rs: Final st: NotStopd t0: [03:19:00 25/09/2015] id: CaO2 el: 0 cu: CCU cg: 140 v1: 11.7268 u1: ml/dl st: NotStopd
t0: [23:00:00 25/09/2015] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: 140 cv: 80 ap: none
t0: [03:15:00 25/09/2015] id: PT el: 0 cu: CCU cg: 140 v1: 15.6 rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: INR Coags el: 0 cu: CCU cg: 140 v1: 1.6 rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: PTT Coags el: 0 cu: CCU cg: 140 v1: 26.7 rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.6 rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 15.6 rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 26.7 rs: Final st: NotStopd
t0: [03:15:00 25/09/2015] id: BUN el: 0 cu: CCU cg: 140 v1: 25 rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: Chloride Chemistry el: 0 cu: CCU cg: 140 v1: 113 rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: Creatinine Chemistry el: 0 cu: CCU cg: 140 v1: 0.9 rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 180 rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: Magnesium Chemistry el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: Phosphorous Chemistry el: 0 cu: CCU cg: 140 v1: 1.7 u1: mEq/L rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 3.6 rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: Sodium Chemistry el: 0 cu: CCU cg: 140 v1: 143 rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 25 rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 22 rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 113 rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.9 rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 180 rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 1.7 u1: mEq/L rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.6 rs: Final st: NotStopd t0: [03:15:00 25/09/2015] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 143 rs: Final st: NotStopd
t0: [04:00:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [04:00:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 25/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 25/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 66 u1: BPM st: NotStopd t0: [04:00:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 90 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [04:00:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [04:00:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [04:00:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [04:00:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:15:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [04:15:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:15:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:15:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 73 u1: BPM st: NotStopd t0: [04:15:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [04:15:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [04:15:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [04:15:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:15:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [04:15:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:15:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [04:15:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 25/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 5.8125 vu: ml t0: [04:00:00 25/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 35 vu: ml t0: [04:00:00 25/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 20 vu: ml
t0: [04:00:00 25/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:15:00 25/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:30:00 24/09/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 25/09/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: H2 Blocker st: NotStopd t0: [02:00:00 25/09/2015] id: Range of Motion el: 0 cu: CCU cg: RN v1: Not Done st: NotStopd t0: [02:00:00 25/09/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 25/09/2015] id: Position Change el: 0 cu: CCU cg: RN v1: Not Done st: NotStopd t0: [02:00:00 25/09/2015] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 25/09/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Not Done st: NotStopd t0: [02:00:00 25/09/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 25/09/2015] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 25/09/2015] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 25/09/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 25/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [04:00:00 25/09/2015] id: Range of Motion el: 0 cu: CCU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 25/09/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 25/09/2015] id: Communication el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 25/09/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 25/09/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 25/09/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 25/09/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 25/09/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 25/09/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 25/09/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 25/09/2015] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [04:00:00 25/09/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [04:00:00 25/09/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 25/09/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 24 st: NotStopd t0: [04:00:00 25/09/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 25/09/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 25/09/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [04:00:00 25/09/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [04:00:00 25/09/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 25/09/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 25/09/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 25/09/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Breast st: NotStopd t0: [04:00:00 25/09/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [04:00:00 25/09/2015] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Extremities, Up st: NotStopd t0: [04:00:00 25/09/2015] id: Impaired Skin Site#4 el: 0 cu: CCU cg: RN v1: Back, Lower st: NotStopd t0: [04:00:00 25/09/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 25/09/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 25/09/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 25/09/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 25/09/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [04:00:00 25/09/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 25/09/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 25/09/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 25/09/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 25/09/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: L Femoral st: NotStopd t0: [04:00:00 25/09/2015] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: Vent Demand st: NotStopd t0: [04:00:00 25/09/2015] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 25/09/2015] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 60 u1: BPM st: NotStopd t0: [04:00:00 25/09/2015] id: Position Change el: 0 cu: CCU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 25/09/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 25/09/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 25/09/2015] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 25/09/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 25/09/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 25/09/2015] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Withdraws st: NotStopd t0: [04:00:00 25/09/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 25/09/2015] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 25/09/2015] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 25/09/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 25/09/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 25/09/2015] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 25/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [04:00:00 25/09/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 25/09/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 25/09/2015] id: Vent Sens/Capture el: 0 cu: CCU cg: RN v1: Yes v2: Yes st: NotStopd t0: [04:00:00 25/09/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 25/09/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [04:00:00 25/09/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [04:00:00 25/09/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Grimace Scale st: NotStopd t0: [04:00:00 25/09/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 25/09/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: Yes st: NotStopd
t0: [04:00:00 25/09/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [04:00:00 25/09/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [04:00:00 25/09/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [05:00:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [05:00:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:00:00 25/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 25/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [05:00:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [05:00:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [05:00:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:00:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [05:00:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [05:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [05:00:00 25/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8.71875 vu: ml t0: [05:00:00 25/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 35 vu: ml
t0: [05:00:00 25/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [19:00:00 23/09/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 59.5 u1: kg st: NotStopd t0: [03:15:00 25/09/2015] tf: [13:52:00 14/10/2015] dt: 27997 id: Vancomycin/Random Drug Level el: 0 cu: CCU cg: 140 v1: 20.6 rs: Final st: NotStopd
t0: [04:00:00 25/09/2015] id: Imp Skin Cleanse #1 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 25/09/2015] id: Imp Skin Cleanse #2 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 25/09/2015] id: Imp Skin Cleanse #3 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 25/09/2015] id: Imp Skin Cleanse #4 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 25/09/2015] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [04:00:00 25/09/2015] id: ImpSkin Character #2 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [04:00:00 25/09/2015] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [04:00:00 25/09/2015] id: ImpSkin Character #4 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [04:00:00 25/09/2015] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 25/09/2015] id: ImpSkin Treatment #2 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 25/09/2015] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 25/09/2015] id: ImpSkin Treatment #4 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 25/09/2015] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [04:00:00 25/09/2015] id: ImpSkin Wound Base#2 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [04:00:00 25/09/2015] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [04:00:00 25/09/2015] id: ImpSkin Wound Base#4 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [04:00:00 25/09/2015] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 25/09/2015] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 25/09/2015] id: Inc Dsg/Status #1 el: 0 cu: CCU cg: RN v1: None v2: Intact st: NotStopd t0: [05:30:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [05:30:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:30:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:30:00 25/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:30:00 25/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:30:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 95 u1: BPM st: NotStopd t0: [05:30:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [05:30:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [05:30:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [05:30:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:30:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [05:30:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:30:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [05:30:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 25/09/2015] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [06:00:00 25/09/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 25/09/2015] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [06:00:00 25/09/2015] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 25/09/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [06:00:00 25/09/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 25/09/2015] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 25/09/2015] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 25/09/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 25/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd
t0: [05:00:00 25/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 30 vu: ml
t0: [05:30:00 25/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.075 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 25/09/2015] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 25/09/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 25/09/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 25/09/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 25/09/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [03:00:00 25/09/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 1 Person Assist st: NotStopd t0: [03:00:00 25/09/2015] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [05:45:00 25/09/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [05:45:00 25/09/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [06:00:00 25/09/2015] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 25/09/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 25/09/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 25/09/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 25/09/2015] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 25/09/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 25/09/2015] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [06:00:00 25/09/2015] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd
t0: [06:00:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [06:00:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:00:00 25/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 25/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 70 u1: BPM st: NotStopd t0: [06:00:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 106 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [06:00:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [06:00:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [06:00:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 6 u1: BPM st: NotStopd t0: [06:00:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 25/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 50 vu: ml t0: [06:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 25/09/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6.53906 vu: ml t0: [06:00:00 25/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 35 vu: ml
t0: [06:00:00 25/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.075 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 25/09/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [06:00:00 25/09/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [06:00:00 25/09/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: Bleeding st: NotStopd
t0: [06:00:00 25/09/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 195 rs: Manual st: NotStopd
t0: [00:00:00 25/09/2015] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 18.75 u1: ml/cmH st: NotStopd t0: [00:00:00 25/09/2015] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [00:00:00 25/09/2015] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 25/09/2015] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 25/09/2015] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 25/09/2015] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 25/09/2015] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 25/09/2015] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [00:00:00 25/09/2015] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 25/09/2015] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [00:00:00 25/09/2015] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 11.9 u1: cmH2O st: NotStopd t0: [00:00:00 25/09/2015] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 5.7 u1: L/min st: NotStopd t0: [00:00:00 25/09/2015] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 25/09/2015] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [00:00:00 25/09/2015] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [00:00:00 25/09/2015] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [00:00:00 25/09/2015] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 25/09/2015] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 25/09/2015] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 25/09/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 25/09/2015] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 25/09/2015] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [00:00:00 25/09/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [00:00:00 25/09/2015] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 25/09/2015] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 3 u1: # st: NotStopd t0: [00:00:00 25/09/2015] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 25/09/2015] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd t0: [03:00:00 25/09/2015] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 20.4545 u1: ml/cmH st: NotStopd t0: [03:00:00 25/09/2015] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [03:00:00 25/09/2015] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [03:00:00 25/09/2015] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [03:00:00 25/09/2015] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [03:00:00 25/09/2015] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [03:00:00 25/09/2015] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [03:00:00 25/09/2015] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [03:00:00 25/09/2015] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [03:00:00 25/09/2015] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [03:00:00 25/09/2015] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [03:00:00 25/09/2015] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 5.4 u1: L/min st: NotStopd t0: [03:00:00 25/09/2015] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [03:00:00 25/09/2015] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [03:00:00 25/09/2015] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [03:00:00 25/09/2015] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [03:00:00 25/09/2015] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [03:00:00 25/09/2015] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [03:00:00 25/09/2015] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [03:00:00 25/09/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [03:00:00 25/09/2015] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [03:00:00 25/09/2015] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 430 u1: ml/B st: NotStopd t0: [03:00:00 25/09/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [03:00:00 25/09/2015] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [03:00:00 25/09/2015] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 3 u1: # st: NotStopd t0: [03:00:00 25/09/2015] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [03:00:00 25/09/2015] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd t0: [06:00:00 25/09/2015] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 18.75 u1: ml/cmH st: NotStopd t0: [06:00:00 25/09/2015] tf: [13:52:00 14/10/2015] dt: 27832 id: RSBI (<100) el: 0 cu: CCU cg: RRT v1: 87.5 u1: units st: NotStopd t0: [06:00:00 25/09/2015] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [06:00:00 25/09/2015] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [06:00:00 25/09/2015] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [06:00:00 25/09/2015] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [06:00:00 25/09/2015] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [06:00:00 25/09/2015] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [06:00:00 25/09/2015] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [06:00:00 25/09/2015] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [06:00:00 25/09/2015] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [06:00:00 25/09/2015] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 12.1 u1: cmH2O st: NotStopd t0: [06:00:00 25/09/2015] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 5.8 u1: L/min st: NotStopd t0: [06:00:00 25/09/2015] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [06:00:00 25/09/2015] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [06:00:00 25/09/2015] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [06:00:00 25/09/2015] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [06:00:00 25/09/2015] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [06:00:00 25/09/2015] tf: [13:52:00 14/10/2015] dt: 27832 id: RSBI (<200) el: 0 cu: CCU cg: RRT v1: 87.5 u1: units st: NotStopd t0: [06:00:00 25/09/2015] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [06:00:00 25/09/2015] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [06:00:00 25/09/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [06:00:00 25/09/2015] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [06:00:00 25/09/2015] tf: [13:52:00 14/10/2015] dt: 27832 id: Spon RR (Mech.) el: 0 cu: CCU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [06:00:00 25/09/2015] tf: [13:52:00 14/10/2015] dt: 27832 id: Spon. Vt (L) (Mech.) el: 0 cu: CCU cg: RRT v1: 0.32 u1: L st: NotStopd t0: [06:00:00 25/09/2015] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [06:00:00 25/09/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [06:00:00 25/09/2015] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [06:00:00 25/09/2015] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 3 u1: # st: NotStopd t0: [06:00:00 25/09/2015] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [06:00:00 25/09/2015] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [06:00:00 25/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 30 vu: ml
t0: [07:50:00 25/09/2015] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 20.4545 u1: ml/cmH st: NotStopd t0: [07:50:00 25/09/2015] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [07:50:00 25/09/2015] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:50:00 25/09/2015] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [07:50:00 25/09/2015] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [07:50:00 25/09/2015] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [07:50:00 25/09/2015] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [07:50:00 25/09/2015] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [07:50:00 25/09/2015] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [07:50:00 25/09/2015] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [07:50:00 25/09/2015] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [07:50:00 25/09/2015] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 6.7 u1: L/min st: NotStopd t0: [07:50:00 25/09/2015] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [07:50:00 25/09/2015] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 60 u1: L/m st: NotStopd t0: [07:50:00 25/09/2015] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [07:50:00 25/09/2015] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [07:50:00 25/09/2015] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [07:50:00 25/09/2015] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [07:50:00 25/09/2015] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [07:50:00 25/09/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [07:50:00 25/09/2015] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:50:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RRT v1: 97 u1: % st: NotStopd t0: [07:50:00 25/09/2015] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [07:50:00 25/09/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [07:50:00 25/09/2015] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [07:50:00 25/09/2015] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 3 u1: # st: NotStopd t0: [07:50:00 25/09/2015] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [07:50:00 25/09/2015] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [07:00:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [07:00:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:00:00 25/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 25/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 97 u1: BPM st: NotStopd t0: [07:00:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [07:00:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [07:00:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [07:00:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [07:00:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [07:00:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [07:00:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [08:00:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 25/09/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 25/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 25/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 102 u1: BPM st: NotStopd t0: [08:00:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 114 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [08:00:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [08:00:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [08:00:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:00:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 25/09/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:00:00 25/09/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [08:00:00 25/09/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [08:00:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 40 vu: ml t0: [08:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 40 vu: ml t0: [08:00:00 25/09/2015] tf: [10:30:00 25/09/2015] dt: 150 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 8.71875 vu: ml t0: [08:00:00 25/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 70 vu: ml t0: [08:00:00 25/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 43 vu: ml
t0: [07:00:00 25/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.075 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 25/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.075 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:45:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [08:45:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:45:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:45:00 25/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:45:00 25/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:45:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 99 u1: BPM st: NotStopd t0: [08:45:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [08:45:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 125 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [08:45:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [08:45:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:45:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [08:45:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 10 u1: BPM st: NotStopd t0: [08:45:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [08:45:00 25/09/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:45:00 25/09/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [08:45:00 25/09/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [08:45:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:45:00 25/09/2015] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1
t0: [08:45:00 25/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.075 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 25/09/2015] dt: 24 id: Blood Products Total el: 1 cu: CCU cg: 140 cv: 750 ap: none
t0: [09:00:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [09:00:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 127 u1: BPM st: NotStopd t0: [09:00:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 129 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [09:00:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [09:00:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [09:00:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [09:00:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:15:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [09:15:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:15:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:15:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 122 u1: BPM st: NotStopd t0: [09:15:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 125 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [09:15:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [09:15:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:15:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [09:15:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:15:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [09:15:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [09:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [09:00:00 25/09/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 4.35938 vu: ml
t0: [09:00:00 25/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.075 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:15:00 25/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [10:00:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 90 u1: BPM st: NotStopd t0: [10:00:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 105 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [10:00:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [10:00:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [10:00:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 25/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:30:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [10:30:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:30:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 100 u1: BPM st: NotStopd t0: [10:30:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [10:30:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 122 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [10:30:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [10:30:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:30:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [10:30:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [10:30:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [10:30:00 25/09/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [10:30:00 25/09/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [10:30:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 25/09/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 2.83359 vu: ml t0: [10:00:00 25/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 25 vu: ml t0: [10:30:00 25/09/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 1.1625 vu: ml st: Stopped
t0: [10:30:00 25/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [08:00:00 25/09/2015] tf: [13:00:00 05/10/2015] dt: 14700 id: Less Restrict Meas. el: 0 cu: CCU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 25/09/2015] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 25/09/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 25/09/2015] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 25/09/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 25/09/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 24 st: NotStopd t0: [08:00:00 25/09/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 25/09/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 25/09/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 25/09/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [08:00:00 25/09/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 25/09/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 25/09/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 25/09/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 25/09/2015] id: Imp Skin Cleanse #1 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 25/09/2015] id: Imp Skin Cleanse #2 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 25/09/2015] id: Imp Skin Cleanse #3 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 25/09/2015] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [08:00:00 25/09/2015] id: ImpSkin Character #2 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [08:00:00 25/09/2015] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [08:00:00 25/09/2015] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 25/09/2015] id: ImpSkin Treatment #2 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 25/09/2015] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 25/09/2015] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Red st: NotStopd t0: [08:00:00 25/09/2015] id: ImpSkin Wound Base#2 el: 0 cu: CCU cg: RN v1: Red st: NotStopd t0: [08:00:00 25/09/2015] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Red st: NotStopd t0: [08:00:00 25/09/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Breast st: NotStopd t0: [08:00:00 25/09/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [08:00:00 25/09/2015] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Extremities, Up st: NotStopd t0: [08:00:00 25/09/2015] id: Inc Cleansing #1 el: 0 cu: CCU cg: RN v1: Betadine st: NotStopd t0: [08:00:00 25/09/2015] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 25/09/2015] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 25/09/2015] id: Inc Dsg/Status #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 25/09/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 25/09/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 25/09/2015] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 25/09/2015] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 25/09/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 25/09/2015] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 25/09/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 25/09/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 25/09/2015] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 25/09/2015] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 25/09/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 25/09/2015] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 25/09/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 25/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [08:00:00 25/09/2015] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 25/09/2015] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 25/09/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 25/09/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 25/09/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 25/09/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 25/09/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 25/09/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 25/09/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Comp. Limited st: NotStopd t0: [10:00:00 25/09/2015] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 25/09/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 25/09/2015] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 25/09/2015] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 25/09/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 25/09/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 25/09/2015] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 25/09/2015] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 25/09/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 25/09/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [10:00:00 25/09/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [10:30:00 25/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 500 vu: ml
id: Levophed-k el: 202 cu: CCU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions am: 4 du: mcgkgmin rt: IV Drip
id: D5W el: 2 cu: CCU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [11:00:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [11:00:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [11:00:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 99 u1: BPM st: NotStopd t0: [11:00:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 102 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:00:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [11:00:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [11:00:00 25/09/2015] id: Procedures el: 0 cu: CCU cg: RN st: NotStopd t0: [11:00:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:15:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [11:15:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:15:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [11:15:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [11:15:00 25/09/2015] tf: [11:00:00 03/10/2015] dt: 11505 id: PAP Mean el: 0 cu: CCU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [11:15:00 25/09/2015] tf: [11:00:00 03/10/2015] dt: 11505 id: PAP S/D el: 0 cu: CCU cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [11:15:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 107 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:15:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [11:15:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:15:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [11:15:00 25/09/2015] id: Procedures el: 0 cu: CCU cg: RN st: NotStopd t0: [11:15:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [11:15:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:30:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [11:30:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [11:30:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [11:30:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [11:30:00 25/09/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [11:30:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 87 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [11:30:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [11:30:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:30:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [11:30:00 25/09/2015] id: Procedures el: 0 cu: CCU cg: RN v1: Fluoroscopy st: NotStopd t0: [11:30:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [11:30:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [11:30:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [11:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [11:00:00 25/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 55 vu: ml t0: [11:30:00 25/09/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1
t0: [11:30:00 25/09/2015] tf: [13:30:00 25/09/2015] dt: 120 id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 25/09/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [11:00:00 25/09/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 24 st: NotStopd t0: [11:00:00 25/09/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [11:00:00 25/09/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [11:00:00 25/09/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [11:00:00 25/09/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [11:00:00 25/09/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [11:00:00 25/09/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [11:00:00 25/09/2015] tf: [09:00:00 30/09/2015] dt: 7080 id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 25 st: NotStopd t0: [11:00:00 25/09/2015] tf: [09:00:00 30/09/2015] dt: 7080 id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [11:00:00 25/09/2015] tf: [09:00:00 30/09/2015] dt: 7080 id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [12:00:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [12:00:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 25/09/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [12:00:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 112 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [12:00:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [12:00:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [12:00:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [12:00:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 91 u1: % st: NotStopd t0: [12:00:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 25/09/2015] tf: [13:30:00 25/09/2015] dt: 90 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 1.1625 vu: ml
t0: [12:00:00 25/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 25/09/2015] id: Procedures el: 0 cu: CCU cg: RN v1: Line Placement st: NotStopd
t0: [12:00:00 25/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 24 vu: ml
t0: [13:00:00 25/09/2015] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 16.0714 u1: ml/cmH st: NotStopd t0: [13:00:00 25/09/2015] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [13:00:00 25/09/2015] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [13:00:00 25/09/2015] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [13:00:00 25/09/2015] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [13:00:00 25/09/2015] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [13:00:00 25/09/2015] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 25/09/2015] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [13:00:00 25/09/2015] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [13:00:00 25/09/2015] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [13:00:00 25/09/2015] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [13:00:00 25/09/2015] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 6.9 u1: L/min st: NotStopd t0: [13:00:00 25/09/2015] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [13:00:00 25/09/2015] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 60 u1: L/m st: NotStopd t0: [13:00:00 25/09/2015] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 36 u1: cmH2O st: NotStopd t0: [13:00:00 25/09/2015] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [13:00:00 25/09/2015] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [13:00:00 25/09/2015] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [13:00:00 25/09/2015] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [13:00:00 25/09/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [13:00:00 25/09/2015] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [13:00:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RRT v1: 93 u1: % st: NotStopd t0: [13:00:00 25/09/2015] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [13:00:00 25/09/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [13:00:00 25/09/2015] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [13:00:00 25/09/2015] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 3 u1: # st: NotStopd t0: [13:00:00 25/09/2015] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [13:00:00 25/09/2015] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [13:00:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [13:00:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:00:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 73 u1: BPM st: NotStopd t0: [13:00:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [13:00:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [13:00:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [13:00:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [13:00:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:30:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:30:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 105 u1: BPM st: NotStopd t0: [13:30:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [13:30:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 142 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [13:30:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [13:30:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:30:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [13:30:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:30:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [13:30:00 25/09/2015] tf: [13:52:00 14/10/2015] dt: 27382 id: Temperature C el: 0 cu: CCU cg: RN v1: Blood st: NotStopd t0: [13:30:00 25/09/2015] tf: [13:52:00 14/10/2015] dt: 27382 id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [13:30:00 25/09/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [13:30:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [13:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [13:00:00 25/09/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 9.3 vu: ml t0: [13:30:00 25/09/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 4.65 vu: ml st: Stopped
t0: [13:00:00 25/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:30:00 25/09/2015] id: Levophed-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [14:00:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [14:00:00 25/09/2015] id: CVP el: 0 cu: CCU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [14:00:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [14:00:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 124 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [14:00:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [14:00:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 67.5 u1: kg st: NotStopd t0: [14:00:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [14:00:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 25/09/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Blood st: NotStopd t0: [14:00:00 25/09/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [14:00:00 25/09/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [14:00:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 25/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 200 vu: ml t0: [14:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml
t0: [14:00:00 25/09/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 155 rs: Manual st: NotStopd
t0: [14:00:00 25/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 0 vu: ml
t0: [20:15:00 23/09/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 59.5 u1: kg st: NotStopd t0: [20:45:00 23/09/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 59.5 u1: kg st: NotStopd t0: [22:30:00 23/09/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 59.5 u1: kg st: NotStopd t0: [23:15:00 23/09/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 59.5 u1: kg st: NotStopd t0: [00:15:00 24/09/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 59.5 u1: kg st: NotStopd t0: [00:35:00 24/09/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 59.5 u1: kg st: NotStopd t0: [04:00:00 24/09/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 59.5 u1: kg st: NotStopd t0: [10:00:00 24/09/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 67.5 u1: kg st: NotStopd t0: [06:00:00 25/09/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 67.5 u1: kg st: NotStopd t0: [07:00:00 25/09/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 67.5 u1: kg st: NotStopd t0: [08:00:00 25/09/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 67.5 u1: kg st: NotStopd t0: [08:45:00 25/09/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 67.5 u1: kg st: NotStopd t0: [09:00:00 25/09/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 67.5 u1: kg st: NotStopd t0: [09:15:00 25/09/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 67.5 u1: kg st: NotStopd t0: [11:15:00 25/09/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 67.5 u1: kg st: NotStopd t0: [11:30:00 25/09/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 67.5 u1: kg st: NotStopd t0: [13:30:00 25/09/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 67.5 u1: kg st: NotStopd t0: [14:25:00 25/09/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: 140 v1: 57 rs: Final st: NotStopd
t0: [14:28:00 25/09/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.41 rs: Final st: NotStopd t0: [14:28:00 25/09/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -1 rs: Final st: NotStopd t0: [14:28:00 25/09/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 23 rs: Final st: NotStopd t0: [14:28:00 25/09/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [14:28:00 25/09/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 112 u1: mmHg rs: Final st: NotStopd t0: [14:28:00 25/09/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.41 rs: Final st: NotStopd t0: [14:28:00 25/09/2015] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 97 u1: % rs: Final st: NotStopd
t0: [12:00:00 25/09/2015] tf: [11:00:00 03/10/2015] dt: 11460 id: PCWP el: 0 cu: CCU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [14:00:00 25/09/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 43 u1: mmHg st: NotStopd t0: [14:00:00 25/09/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 57 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [14:00:00 25/09/2015] id: PCWP el: 0 cu: CCU cg: RN v1: 31 u1: mmHg st: NotStopd
t0: [14:36:00 25/09/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 35.5 u1: % rs: Final st: NotStopd t0: [14:36:00 25/09/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 11.4 u1: gm/dl rs: Final st: NotStopd
t0: [14:36:00 25/09/2015] id: Magnesium Chemistry el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [14:36:00 25/09/2015] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 4.1 rs: Final st: NotStopd t0: [14:36:00 25/09/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [14:36:00 25/09/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.1 rs: Final st: NotStopd
t0: [14:00:00 25/09/2015] tf: [11:00:00 03/10/2015] dt: 11340 id: Cardiac Index el: 0 cu: CCU cg: RN v1: 2.04969 u1: ... st: NotStopd t0: [14:00:00 25/09/2015] tf: [13:52:00 14/10/2015] dt: 27352 id: PVRI el: 0 cu: CCU cg: RN v1: 468.293 u1: ... st: NotStopd t0: [14:00:00 25/09/2015] tf: [11:00:00 03/10/2015] dt: 11340 id: SVR el: 0 cu: CCU cg: RN v1: 1454.55 u1: ... st: NotStopd t0: [14:00:00 25/09/2015] tf: [13:52:00 14/10/2015] dt: 27352 id: SVRI el: 0 cu: CCU cg: RN v1: 2341.46 u1: ... st: NotStopd t0: [14:00:00 25/09/2015] tf: [11:00:00 03/10/2015] dt: 11340 id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 57 u1: % st: NotStopd t0: [14:00:00 25/09/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: RN v1: 11.4 u1: gm/dl rs: Manual st: NotStopd t0: [14:00:00 25/09/2015] tf: [13:52:00 14/10/2015] dt: 27352 id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 57 rs: Manual st: NotStopd t0: [14:00:00 25/09/2015] id: SaO2 ABG's el: 0 cu: CCU cg: RN v1: 97 u1: % rs: Manual st: NotStopd t0: [14:00:00 25/09/2015] tf: [11:00:00 03/10/2015] dt: 11340 id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 3.29357 u1: L/min st: NotStopd t0: [14:25:00 25/09/2015] id: Cardiac Index el: 0 cu: CCU cg: RN v1: 2.04969 u1: ... st: NotStopd t0: [14:25:00 25/09/2015] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 3.29357 u1: L/min st: NotStopd t0: [14:28:00 25/09/2015] id: CaO2 el: 0 cu: CCU cg: RN v1: 15.1649 u1: ml/dl st: NotStopd t0: [14:28:00 25/09/2015] tf: [13:52:00 14/10/2015] dt: 27324 id: DO2I el: 0 cu: CCU cg: RN v1: 307.5 u1: ml/m/m st: NotStopd t0: [15:00:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [15:00:00 25/09/2015] id: CVP el: 0 cu: CCU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [15:00:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:00:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 93 u1: BPM st: NotStopd t0: [15:00:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 25/09/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 44 u1: mmHg st: NotStopd t0: [15:00:00 25/09/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 58 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [15:00:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [15:00:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [15:00:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 25/09/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Blood st: NotStopd t0: [15:00:00 25/09/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [15:00:00 25/09/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [15:00:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 25/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 45 vu: ml t0: [10:00:00 25/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 45 vu: ml t0: [11:00:00 25/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 45 vu: ml t0: [12:00:00 25/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 45 vu: ml t0: [13:00:00 25/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 45 vu: ml t0: [14:00:00 25/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 45 vu: ml t0: [15:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [15:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [15:00:00 25/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 45 vu: ml
t0: [15:00:00 25/09/2015] id: Previous Weight el: 0 cu: CCU cg: RN v1: 72.7 u1: kg st: NotStopd t0: [15:00:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 72.7 u1: kg st: NotStopd t0: [15:00:00 25/09/2015] tf: [13:52:00 14/10/2015] dt: 27292 id: BSA - English el: 0 cu: CCU cg: RN v1: 1.13632 u1: m2 st: NotStopd t0: [15:00:00 25/09/2015] tf: [13:52:00 14/10/2015] dt: 27292 id: BSA - Metric el: 0 cu: CCU cg: RN v1: 1.32775 u1: m2 st: NotStopd t0: [15:00:00 25/09/2015] id: Weight Change el: 0 cu: CCU cg: RN v1: 0 u1: kg st: NotStopd t0: [15:00:00 25/09/2015] id: Daily Weight el: 0 cu: CCU cg: RN v1: 72.7 u1: kg st: NotStopd
t0: [15:00:00 25/09/2015] tf: [17:00:00 25/09/2015] dt: 120 id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 38 vu: ml
t0: [16:00:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:00:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [16:00:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 25/09/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [16:00:00 25/09/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 53 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [16:00:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 105 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:00:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [16:00:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 72.7 u1: kg st: NotStopd t0: [16:00:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [16:00:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [16:00:00 25/09/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [16:00:00 25/09/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [16:00:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 25/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 17 vu: ml t0: [16:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 25/09/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [16:00:00 25/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 45 vu: ml t0: [16:00:00 25/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 6 vu: ml
t0: [16:00:00 25/09/2015] tf: [11:00:00 03/10/2015] dt: 11220 id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 950 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 25/09/2015] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 19.5652 u1: ml/cmH st: NotStopd t0: [16:00:00 25/09/2015] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [16:00:00 25/09/2015] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 25/09/2015] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 25/09/2015] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 25/09/2015] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 25/09/2015] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 25/09/2015] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [16:00:00 25/09/2015] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 25/09/2015] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [16:00:00 25/09/2015] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [16:00:00 25/09/2015] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 5.5 u1: L/min st: NotStopd t0: [16:00:00 25/09/2015] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [16:00:00 25/09/2015] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 60 u1: L/m st: NotStopd t0: [16:00:00 25/09/2015] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [16:00:00 25/09/2015] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [16:00:00 25/09/2015] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [16:00:00 25/09/2015] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:00:00 25/09/2015] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [16:00:00 25/09/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [16:00:00 25/09/2015] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 25/09/2015] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [16:00:00 25/09/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [16:00:00 25/09/2015] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 25/09/2015] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 3 u1: # st: NotStopd t0: [16:00:00 25/09/2015] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd
id: Natrecor el: 100 cu: CCU cg: RN io: D5W 250.0ml + 1.5mcgkgmin Natrecor IV Infusions am: 1.5 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 1.5mcgkgmin Natrecor IV Infusions el: 1 cu: CCU cg: RN ra: 6.2 ru: ml/hr
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 1.5mcgkgmin Natrecor IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [17:00:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:00:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [17:00:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 25/09/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 43 u1: mmHg st: NotStopd t0: [17:00:00 25/09/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 57 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [17:00:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 116 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [17:00:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [17:00:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 72.7 u1: kg st: NotStopd t0: [17:00:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [17:00:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 25/09/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [17:00:00 25/09/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [17:00:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 25/09/2015] tf: [19:00:00 26/09/2015] dt: 1920 id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 375 vu: ml t0: [17:00:00 25/09/2015] tf: [14:30:00 10/10/2015] dt: 21450 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [17:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [17:00:00 25/09/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.5 vu: ml t0: [17:00:00 25/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 45 vu: ml t0: [17:00:00 25/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 0 vu: ml t0: [17:00:00 25/09/2015] id: D5W 250.0ml + 1.5mcgkgmin Natrecor IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [17:00:00 25/09/2015] tf: [05:00:00 26/09/2015] dt: 720 id: Natrecor el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 25/09/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 950 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 25/09/2015] id: Emesis Appearance/ph el: 0 cu: CCU cg: -1 st: D/C'd
t0: [18:00:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:00:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 122 u1: BPM st: NotStopd t0: [18:00:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 25/09/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 43 u1: mmHg st: NotStopd t0: [18:00:00 25/09/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 59 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [18:00:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 127 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [18:00:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [18:00:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 72.7 u1: kg st: NotStopd t0: [18:00:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:00:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [18:00:00 25/09/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [18:00:00 25/09/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [18:00:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 25/09/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.5 vu: ml t0: [18:00:00 25/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 45 vu: ml t0: [18:00:00 25/09/2015] tf: [13:52:00 14/10/2015] dt: 27112 id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 18 vu: ml t0: [18:00:00 25/09/2015] tf: [00:00:00 30/09/2015] dt: 6120 id: D5W 250.0ml + 1.5mcgkgmin Natrecor IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 6.2 vu: ml
t0: [18:00:00 25/09/2015] id: Natrecor el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 25/09/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 950 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 25/09/2015] id: Communication el: 0 cu: CCU cg: RN v1: Nodding st: NotStopd t0: [08:00:00 25/09/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 25/09/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 25/09/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 25/09/2015] id: Flatus el: 0 cu: CCU cg: RN v1: Positive st: NotStopd t0: [08:00:00 25/09/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 25/09/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 25/09/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 25/09/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 25/09/2015] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [08:00:00 25/09/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [08:00:00 25/09/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [08:00:00 25/09/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 25/09/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 25/09/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 25/09/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [08:00:00 25/09/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 25/09/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 25/09/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 25/09/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 25/09/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: L Femoral st: NotStopd t0: [08:00:00 25/09/2015] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: Vent Demand st: NotStopd t0: [08:00:00 25/09/2015] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [08:00:00 25/09/2015] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 60 u1: BPM st: NotStopd t0: [08:00:00 25/09/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 25/09/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 25/09/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 25/09/2015] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 25/09/2015] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 25/09/2015] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Golden v2: Liquid st: NotStopd t0: [08:00:00 25/09/2015] tf: [13:52:00 14/10/2015] dt: 27712 id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Positive st: NotStopd t0: [08:00:00 25/09/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 25/09/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 25/09/2015] id: Vent Sens/Capture el: 0 cu: CCU cg: RN v1: Yes v2: Yes st: NotStopd t0: [08:00:00 25/09/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 25/09/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [12:00:00 25/09/2015] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 25/09/2015] tf: [13:52:00 14/10/2015] dt: 27472 id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 7 v2: 25 st: NotStopd t0: [12:00:00 25/09/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 25/09/2015] id: Communication el: 0 cu: CCU cg: RN v1: Nodding st: NotStopd t0: [12:00:00 25/09/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 25/09/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 25/09/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 25/09/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Called st: NotStopd t0: [12:00:00 25/09/2015] id: Flatus el: 0 cu: CCU cg: RN v1: Positive st: NotStopd t0: [12:00:00 25/09/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 25/09/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 25/09/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 25/09/2015] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [12:00:00 25/09/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [12:00:00 25/09/2015] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 25/09/2015] tf: [13:52:00 14/10/2015] dt: 27472 id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 7 v2: 25 st: NotStopd t0: [12:00:00 25/09/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [12:00:00 25/09/2015] tf: [20:00:00 05/10/2015] dt: 14880 id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 25/09/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 24 st: NotStopd t0: [12:00:00 25/09/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 25/09/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 25/09/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 25/09/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [12:00:00 25/09/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 25/09/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [12:00:00 25/09/2015] tf: [16:00:00 03/10/2015] dt: 11760 id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 25/09/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 25/09/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 25 st: NotStopd t0: [12:00:00 25/09/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 25/09/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 25/09/2015] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 25/09/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 25/09/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Breast st: NotStopd t0: [12:00:00 25/09/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [12:00:00 25/09/2015] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Extremities, Up st: NotStopd t0: [12:00:00 25/09/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 25/09/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 25/09/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 25/09/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 25/09/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [12:00:00 25/09/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 25/09/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [12:00:00 25/09/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 25/09/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 25/09/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: L Femoral st: NotStopd t0: [12:00:00 25/09/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 25/09/2015] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: Vent Demand st: NotStopd t0: [12:00:00 25/09/2015] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [12:00:00 25/09/2015] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 60 u1: BPM st: NotStopd t0: [12:00:00 25/09/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [12:00:00 25/09/2015] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 25/09/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 25/09/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 25/09/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 25/09/2015] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 25/09/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 25/09/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:00:00 25/09/2015] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 25/09/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 25/09/2015] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 25/09/2015] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 25/09/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 25/09/2015] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 25/09/2015] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Golden v2: Loose st: NotStopd t0: [12:00:00 25/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [12:00:00 25/09/2015] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [12:00:00 25/09/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 25/09/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 25/09/2015] id: Vent Sens/Capture el: 0 cu: CCU cg: RN v1: Yes v2: Yes st: NotStopd t0: [12:00:00 25/09/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 25/09/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [14:00:00 25/09/2015] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 25/09/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 25/09/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Breast st: NotStopd t0: [14:00:00 25/09/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [14:00:00 25/09/2015] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Extremities, Up st: NotStopd t0: [14:00:00 25/09/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 25/09/2015] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 25/09/2015] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 25/09/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 25/09/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 25/09/2015] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 25/09/2015] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 25/09/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 25/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [16:00:00 25/09/2015] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 25/09/2015] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 7 v2: 25 st: NotStopd t0: [16:00:00 25/09/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 25/09/2015] id: Communication el: 0 cu: CCU cg: RN v1: Nodding st: NotStopd t0: [16:00:00 25/09/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 25/09/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 25/09/2015] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 25/09/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 25/09/2015] id: Flatus el: 0 cu: CCU cg: RN v1: Positive st: NotStopd t0: [16:00:00 25/09/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 25/09/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 25/09/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 25/09/2015] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [16:00:00 25/09/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [16:00:00 25/09/2015] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 25/09/2015] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 7 v2: 25 st: NotStopd t0: [16:00:00 25/09/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [16:00:00 25/09/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 25/09/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 24 st: NotStopd t0: [16:00:00 25/09/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 25/09/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 25/09/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 25/09/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [16:00:00 25/09/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 25/09/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [16:00:00 25/09/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 25/09/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 25/09/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 25 st: NotStopd t0: [16:00:00 25/09/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 25/09/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 25/09/2015] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 25/09/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 25/09/2015] id: Imp Skin Cleanse #1 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 25/09/2015] id: Imp Skin Cleanse #2 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 25/09/2015] id: Imp Skin Cleanse #3 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 25/09/2015] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [16:00:00 25/09/2015] id: ImpSkin Character #2 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [16:00:00 25/09/2015] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [16:00:00 25/09/2015] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 25/09/2015] id: ImpSkin Treatment #2 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 25/09/2015] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 25/09/2015] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [16:00:00 25/09/2015] id: ImpSkin Wound Base#2 el: 0 cu: CCU cg: RN v1: Red st: NotStopd t0: [16:00:00 25/09/2015] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [16:00:00 25/09/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Breast st: NotStopd t0: [16:00:00 25/09/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [16:00:00 25/09/2015] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Extremities, Up st: NotStopd t0: [16:00:00 25/09/2015] id: Inc Cleansing #1 el: 0 cu: CCU cg: RN v1: Betadine st: NotStopd t0: [16:00:00 25/09/2015] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 25/09/2015] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 25/09/2015] id: Inc Dsg/Status #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 25/09/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 25/09/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 25/09/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 25/09/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 25/09/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [16:00:00 25/09/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 25/09/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 25/09/2015] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 25/09/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 25/09/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 25/09/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: L Femoral st: NotStopd t0: [16:00:00 25/09/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 25/09/2015] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: Vent Demand st: NotStopd t0: [16:00:00 25/09/2015] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [16:00:00 25/09/2015] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 60 u1: BPM st: NotStopd t0: [16:00:00 25/09/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [16:00:00 25/09/2015] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 25/09/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 25/09/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 25/09/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 25/09/2015] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 25/09/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 25/09/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [16:00:00 25/09/2015] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 25/09/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 25/09/2015] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 25/09/2015] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 25/09/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 25/09/2015] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 25/09/2015] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 25/09/2015] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Golden v2: Loose st: NotStopd t0: [16:00:00 25/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [16:00:00 25/09/2015] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 25/09/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 25/09/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 25/09/2015] id: Vent Sens/Capture el: 0 cu: CCU cg: RN v1: Yes v2: Yes st: NotStopd t0: [16:00:00 25/09/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 25/09/2015] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 25/09/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [16:00:00 25/09/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 25/09/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 25/09/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 25/09/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 25/09/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 25/09/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 11 u1: number st: NotStopd t0: [16:00:00 25/09/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Comp. Limited st: NotStopd t0: [18:00:00 25/09/2015] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 25/09/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 25/09/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Breast st: NotStopd t0: [18:00:00 25/09/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [18:00:00 25/09/2015] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Extremities, Up st: NotStopd t0: [18:00:00 25/09/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 25/09/2015] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 25/09/2015] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 25/09/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 25/09/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 25/09/2015] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 25/09/2015] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 25/09/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 25/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd
t0: [18:00:00 25/09/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 150 rs: Manual st: NotStopd
t0: [15:00:00 25/09/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Thin st: NotStopd t0: [15:00:00 25/09/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [18:40:00 25/09/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd t0: [18:40:00 25/09/2015] id: CaO2 el: 0 cu: CCU cg: 140 v1: 14.9037 u1: ml/dl st: NotStopd t0: [18:40:00 25/09/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -4 rs: Final st: NotStopd t0: [18:40:00 25/09/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 20 rs: Final st: NotStopd t0: [18:40:00 25/09/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [18:40:00 25/09/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 77 u1: mmHg rs: Final st: NotStopd t0: [18:40:00 25/09/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd t0: [18:40:00 25/09/2015] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 96 u1: % rs: Final st: NotStopd
t0: [20:00:00 25/09/2015] id: Compliance (40-60ml) el: 0 cu: CCU cg: CRT v1: 21.7391 u1: ml/cmH st: NotStopd t0: [20:00:00 25/09/2015] id: ETT Mark/Location el: 0 cu: CCU cg: CRT v1: 21cm v2: Lip st: NotStopd t0: [20:00:00 25/09/2015] id: FiO2 Set el: 0 cu: CCU cg: CRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 25/09/2015] id: High Insp. Pressure el: 0 cu: CCU cg: CRT v1: 60 u1: cmH2O st: NotStopd t0: [20:00:00 25/09/2015] id: High Resp. Rate el: 0 cu: CCU cg: CRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 25/09/2015] id: I:E Ratio el: 0 cu: CCU cg: CRT v1: 1:2.6 st: NotStopd t0: [20:00:00 25/09/2015] id: Airway Size el: 0 cu: CCU cg: CRT v1: 7.5 mm st: NotStopd t0: [20:00:00 25/09/2015] id: Airway Type el: 0 cu: CCU cg: CRT v1: Endotracheal st: NotStopd t0: [20:00:00 25/09/2015] id: Inspired Gas Temp el: 0 cu: CCU cg: CRT u1: Deg. C st: NotStopd t0: [20:00:00 25/09/2015] id: Intubation Date el: 0 cu: CCU cg: CRT v1: 7 v2: 23 st: NotStopd t0: [20:00:00 25/09/2015] id: Low Exhaled Min Vol el: 0 cu: CCU cg: CRT v1: 4 st: NotStopd t0: [20:00:00 25/09/2015] id: Low Insp. Pressure el: 0 cu: CCU cg: CRT v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 25/09/2015] id: Mean Airway Pressure el: 0 cu: CCU cg: CRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 25/09/2015] id: Minute Volume(Obser) el: 0 cu: CCU cg: CRT v1: 6.4 u1: L/min st: NotStopd t0: [20:00:00 25/09/2015] id: PEEP Set el: 0 cu: CCU cg: CRT v1: 6 u1: cmH2O st: NotStopd t0: [20:00:00 25/09/2015] id: Peak Flow el: 0 cu: CCU cg: CRT v1: 50 u1: L/m st: NotStopd t0: [20:00:00 25/09/2015] id: Peak Insp. Pressure el: 0 cu: CCU cg: CRT v1: 26.7 u1: cmH2O st: NotStopd t0: [20:00:00 25/09/2015] id: Plateau Pressure el: 0 cu: CCU cg: CRT v1: 19.9 u1: cmH2O st: NotStopd t0: [20:00:00 25/09/2015] id: Plateau-Off el: 0 cu: CCU cg: CRT v1: Yes st: NotStopd t0: [20:00:00 25/09/2015] id: Resp Rate (Spont) el: 0 cu: CCU cg: CRT v1: 5 u1: BPM st: NotStopd t0: [20:00:00 25/09/2015] id: Resp Rate (Total) el: 0 cu: CCU cg: CRT v1: 17 u1: BPM st: NotStopd t0: [20:00:00 25/09/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: CRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 25/09/2015] id: Sensitivity-Vent el: 0 cu: CCU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: CRT v1: 95 u1: % st: NotStopd t0: [20:00:00 25/09/2015] id: Tidal Volume (Obser) el: 0 cu: CCU cg: CRT v1: 450 u1: ml/B st: NotStopd t0: [20:00:00 25/09/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: CRT v1: 450 u1: ml/B st: NotStopd t0: [20:00:00 25/09/2015] id: Ventilator Mode el: 0 cu: CCU cg: CRT v1: Assist Control st: NotStopd t0: [20:00:00 25/09/2015] id: Ventilator No. el: 0 cu: CCU cg: CRT v1: 3 u1: # st: NotStopd t0: [20:00:00 25/09/2015] id: Ventilator Type el: 0 cu: CCU cg: CRT v1: 7200A st: NotStopd t0: [20:00:00 25/09/2015] id: Waveform-Vent el: 0 cu: CCU cg: CRT v1: RAMP st: NotStopd
t0: [20:00:00 25/09/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [20:00:00 25/09/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Grimace Scale st: NotStopd t0: [20:00:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:00:00 25/09/2015] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [20:00:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 25/09/2015] id: Communication el: 0 cu: CCU cg: RN v1: Mouthing Words st: NotStopd t0: [20:00:00 25/09/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 25/09/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 25/09/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 25/09/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 25/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 25/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 25/09/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 25/09/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 25/09/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 25/09/2015] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [20:00:00 25/09/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [20:00:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 97 u1: BPM st: NotStopd t0: [20:00:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 25/09/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 25/09/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [20:00:00 25/09/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 25/09/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 25/09/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 25/09/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 25/09/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: L Femoral st: NotStopd t0: [20:00:00 25/09/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [20:00:00 25/09/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 59 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [20:00:00 25/09/2015] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: Vent Demand st: NotStopd t0: [20:00:00 25/09/2015] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [20:00:00 25/09/2015] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 60 u1: BPM st: NotStopd t0: [20:00:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 109 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [20:00:00 25/09/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [20:00:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 72.7 u1: kg st: NotStopd t0: [20:00:00 25/09/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:00:00 25/09/2015] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Withdraws st: NotStopd t0: [20:00:00 25/09/2015] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 25/09/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [20:00:00 25/09/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [20:00:00 25/09/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 25/09/2015] id: Vent Sens/Capture el: 0 cu: CCU cg: RN v1: Yes v2: Yes st: NotStopd t0: [20:00:00 25/09/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [19:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [19:00:00 25/09/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.5 vu: ml t0: [19:00:00 25/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 45 vu: ml t0: [19:00:00 25/09/2015] id: D5W 250.0ml + 1.5mcgkgmin Natrecor IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 6.2 vu: ml t0: [20:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 25/09/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.5 vu: ml t0: [20:00:00 25/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 45 vu: ml t0: [20:00:00 25/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml t0: [20:00:00 25/09/2015] id: D5W 250.0ml + 1.5mcgkgmin Natrecor IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 6.2 vu: ml
t0: [20:00:00 25/09/2015] id: Natrecor el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 25/09/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 950 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 25/09/2015] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [21:00:00 25/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 25/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 103 u1: BPM st: NotStopd t0: [21:00:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 25/09/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 41 u1: mmHg st: NotStopd t0: [21:00:00 25/09/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 57 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [21:00:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 117 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [21:00:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [21:00:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 72.7 u1: kg st: NotStopd t0: [21:00:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [21:00:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 25/09/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [21:00:00 25/09/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [21:00:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [21:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [21:00:00 25/09/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.5 vu: ml t0: [21:00:00 25/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 45 vu: ml t0: [21:00:00 25/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 30 vu: ml t0: [21:00:00 25/09/2015] id: D5W 250.0ml + 1.5mcgkgmin Natrecor IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 6.2 vu: ml
t0: [21:00:00 25/09/2015] id: Natrecor el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 25/09/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 950 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:14:00 25/09/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 33 u1: % rs: Final st: NotStopd
t0: [21:00:00 25/09/2015] id: Cardiac Index el: 0 cu: CCU cg: RN v1: 2.36025 u1: ... st: NotStopd t0: [21:00:00 25/09/2015] id: SVR el: 0 cu: CCU cg: RN v1: 1242.11 u1: ... st: NotStopd t0: [21:00:00 25/09/2015] id: SVRI el: 0 cu: CCU cg: RN v1: 2000 u1: ... st: NotStopd t0: [21:00:00 25/09/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: RN v1: 11 u1: gm/dl rs: Manual st: NotStopd t0: [21:00:00 25/09/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 60 rs: Manual st: NotStopd t0: [21:00:00 25/09/2015] id: SaO2 ABG's el: 0 cu: CCU cg: RN v1: 96 u1: % rs: Manual st: NotStopd t0: [21:00:00 25/09/2015] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 3.79259 u1: L/min st: NotStopd t0: [22:00:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:00:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 25/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [22:00:00 25/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [22:00:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 25/09/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 40 u1: mmHg st: NotStopd t0: [22:00:00 25/09/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 56 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [22:00:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 112 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [22:00:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [22:00:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 72.7 u1: kg st: NotStopd t0: [22:00:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [22:00:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [22:00:00 25/09/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [22:00:00 25/09/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [22:00:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 25/09/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 950 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [23:00:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 25/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [23:00:00 25/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 108 u1: BPM st: NotStopd t0: [23:00:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 25/09/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 48 u1: mmHg st: NotStopd t0: [23:00:00 25/09/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 62 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [23:00:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [23:00:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [23:00:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 72.7 u1: kg st: NotStopd t0: [23:00:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [23:00:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 25/09/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.7 u1: Deg. C st: NotStopd t0: [23:00:00 25/09/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 99.86 u1: Deg. F st: NotStopd t0: [23:00:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 25/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [21:00:00 25/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [22:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 25/09/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.5 vu: ml t0: [22:00:00 25/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 45 vu: ml t0: [22:00:00 25/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 30 vu: ml t0: [22:00:00 25/09/2015] id: D5W 250.0ml + 1.5mcgkgmin Natrecor IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 6.2 vu: ml t0: [23:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [23:00:00 25/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [23:00:00 25/09/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.5 vu: ml t0: [23:00:00 25/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 45 vu: ml
t0: [22:00:00 25/09/2015] id: Natrecor el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 25/09/2015] id: Natrecor el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 25/09/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 950 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 25/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 45 vu: ml
t0: [23:05:00 25/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [23:05:00 25/09/2015] id: CVP el: 0 cu: CCU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [23:05:00 25/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:05:00 25/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:05:00 25/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [23:05:00 25/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [23:05:00 25/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 108 u1: BPM st: NotStopd t0: [23:05:00 25/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [23:05:00 25/09/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 45 u1: mmHg st: NotStopd t0: [23:05:00 25/09/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 61 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [23:05:00 25/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 124 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [23:05:00 25/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [23:05:00 25/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:05:00 25/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 72.7 u1: kg st: NotStopd t0: [23:05:00 25/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [23:05:00 25/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [23:05:00 25/09/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.7 u1: Deg. C st: NotStopd t0: [23:05:00 25/09/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 99.86 u1: Deg. F st: NotStopd t0: [23:05:00 25/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:05:00 25/09/2015] id: Natrecor el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:05:00 25/09/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 950 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:14:00 25/09/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.43 rs: Final st: NotStopd t0: [23:14:00 25/09/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -2 rs: Final st: NotStopd t0: [23:14:00 25/09/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [23:14:00 25/09/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [23:14:00 25/09/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 97 u1: mmHg rs: Final st: NotStopd t0: [23:14:00 25/09/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.43 rs: Final st: NotStopd t0: [23:14:00 25/09/2015] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 97 u1: % rs: Final st: NotStopd
t0: [23:25:00 25/09/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 34 u1: % rs: Final st: NotStopd
t0: [23:05:00 25/09/2015] id: Cardiac Index el: 0 cu: CCU cg: RN v1: 2.04969 u1: ... st: NotStopd t0: [23:05:00 25/09/2015] id: SVR el: 0 cu: CCU cg: RN v1: 1527.27 u1: ... st: NotStopd t0: [23:05:00 25/09/2015] id: SVRI el: 0 cu: CCU cg: RN v1: 2458.54 u1: ... st: NotStopd t0: [23:05:00 25/09/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: RN v1: 11.5 u1: gm/dl rs: Manual st: NotStopd t0: [23:05:00 25/09/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 57 rs: Manual st: NotStopd t0: [23:05:00 25/09/2015] id: SaO2 ABG's el: 0 cu: CCU cg: RN v1: 97 u1: % rs: Manual st: NotStopd t0: [23:05:00 25/09/2015] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 3.26493 u1: L/min st: NotStopd t0: [23:14:00 25/09/2015] id: CaO2 el: 0 cu: CCU cg: RN v1: 15.2484 u1: ml/dl st: NotStopd t0: [23:14:00 25/09/2015] id: DO2I el: 0 cu: CCU cg: RN v1: 307.5 u1: ml/m/m st: NotStopd
t0: [20:00:00 25/09/2015] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 7 v2: 25 st: NotStopd t0: [20:00:00 25/09/2015] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 25/09/2015] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 7 v2: 25 st: NotStopd t0: [20:00:00 25/09/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [20:00:00 25/09/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 25/09/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 24 st: NotStopd t0: [20:00:00 25/09/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 25/09/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 25/09/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [20:00:00 25/09/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [20:00:00 25/09/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 25/09/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 25/09/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 25/09/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 25 st: NotStopd t0: [20:00:00 25/09/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 25/09/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 25/09/2015] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 25/09/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 25/09/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 25/09/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [20:00:00 25/09/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 25/09/2015] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [23:00:00 25/09/2015] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 25/09/2015] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 7 v2: 25 st: NotStopd t0: [23:00:00 25/09/2015] id: CVP el: 0 cu: CCU cg: RN u1: mmHg st: NotStopd t0: [23:00:00 25/09/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [23:00:00 25/09/2015] id: Communication el: 0 cu: CCU cg: RN v1: Nodding st: NotStopd t0: [23:00:00 25/09/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: H2 Blocker st: NotStopd t0: [23:00:00 25/09/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [23:00:00 25/09/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [23:00:00 25/09/2015] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 25/09/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [23:00:00 25/09/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [23:00:00 25/09/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [23:00:00 25/09/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [23:00:00 25/09/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 25/09/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [23:00:00 25/09/2015] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [23:00:00 25/09/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [23:00:00 25/09/2015] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 25/09/2015] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 7 v2: 25 st: NotStopd t0: [23:00:00 25/09/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [23:00:00 25/09/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [23:00:00 25/09/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 24 st: NotStopd t0: [23:00:00 25/09/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [23:00:00 25/09/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [23:00:00 25/09/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [23:00:00 25/09/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [23:00:00 25/09/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [23:00:00 25/09/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [23:00:00 25/09/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [23:00:00 25/09/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [23:00:00 25/09/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 25 st: NotStopd t0: [23:00:00 25/09/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [23:00:00 25/09/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 25/09/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 25/09/2015] id: Imp Skin Cleanse #1 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [23:00:00 25/09/2015] id: Imp Skin Cleanse #2 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [23:00:00 25/09/2015] id: Imp Skin Cleanse #3 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [23:00:00 25/09/2015] id: Imp Skin Cleanse #4 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [23:00:00 25/09/2015] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [23:00:00 25/09/2015] id: ImpSkin Character #2 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [23:00:00 25/09/2015] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [23:00:00 25/09/2015] id: ImpSkin Character #4 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [23:00:00 25/09/2015] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [23:00:00 25/09/2015] id: ImpSkin Treatment #2 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [23:00:00 25/09/2015] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [23:00:00 25/09/2015] id: ImpSkin Treatment #4 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [23:00:00 25/09/2015] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [23:00:00 25/09/2015] id: ImpSkin Wound Base#2 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [23:00:00 25/09/2015] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [23:00:00 25/09/2015] id: ImpSkin Wound Base#4 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [23:00:00 25/09/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Breast st: NotStopd t0: [23:00:00 25/09/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [23:00:00 25/09/2015] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Extremities, Up st: NotStopd t0: [23:00:00 25/09/2015] id: Impaired Skin Site#4 el: 0 cu: CCU cg: RN v1: Back, Lower st: NotStopd t0: [23:00:00 25/09/2015] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [23:00:00 25/09/2015] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 25/09/2015] id: Inc Dsg/Status #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 25/09/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 25/09/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 25/09/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 25/09/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [23:00:00 25/09/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [23:00:00 25/09/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [23:00:00 25/09/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 25/09/2015] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 25/09/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [23:00:00 25/09/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 25/09/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: L Femoral st: NotStopd t0: [23:00:00 25/09/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [23:00:00 25/09/2015] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: Vent Demand st: NotStopd t0: [23:00:00 25/09/2015] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [23:00:00 25/09/2015] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 60 u1: BPM st: NotStopd t0: [23:00:00 25/09/2015] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 25/09/2015] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 25/09/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [23:00:00 25/09/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 25/09/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 25/09/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 25/09/2015] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [23:00:00 25/09/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 25/09/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [23:00:00 25/09/2015] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [23:00:00 25/09/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [23:00:00 25/09/2015] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [23:00:00 25/09/2015] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [23:00:00 25/09/2015] id: SVR el: 0 cu: CCU cg: RN u1: ... st: NotStopd t0: [23:00:00 25/09/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 25/09/2015] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 25/09/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [23:00:00 25/09/2015] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [23:00:00 25/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [23:00:00 25/09/2015] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 25/09/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Amber v2: Clear st: NotStopd t0: [23:00:00 25/09/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [23:00:00 25/09/2015] id: Vent Sens/Capture el: 0 cu: CCU cg: RN v1: Yes v2: Yes st: NotStopd t0: [23:00:00 25/09/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [23:00:00 25/09/2015] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 25/09/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [20:00:00 25/09/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 25/09/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [23:00:00 25/09/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [23:00:00 25/09/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Grimace Scale st: NotStopd t0: [23:00:00 25/09/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [23:00:00 25/09/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 25/09/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [23:00:00 25/09/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Thick st: NotStopd t0: [23:00:00 25/09/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [00:00:00 26/09/2015] id: Service Type el: 0 cu: CCU cg: CRT v1: CCU st: NotStopd t0: [00:00:00 26/09/2015] id: CVP el: 0 cu: CCU cg: CRT v1: 15 u1: mmHg st: NotStopd t0: [00:00:00 26/09/2015] id: Code Status el: 0 cu: CCU cg: CRT v1: Full Code st: NotStopd t0: [00:00:00 26/09/2015] id: Compliance (40-60ml) el: 0 cu: CCU cg: CRT v1: 18.8285 u1: ml/cmH st: NotStopd t0: [00:00:00 26/09/2015] id: Risk for Falls el: 0 cu: CCU cg: CRT v1: Yes st: NotStopd t0: [00:00:00 26/09/2015] id: ETT Mark/Location el: 0 cu: CCU cg: CRT v1: 21cm v2: Lip st: NotStopd t0: [00:00:00 26/09/2015] id: FiO2 Set el: 0 cu: CCU cg: CRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 26/09/2015] id: Heart Rate el: 0 cu: CCU cg: CRT v1: 115 u1: BPM st: NotStopd t0: [00:00:00 26/09/2015] id: High Insp. Pressure el: 0 cu: CCU cg: CRT v1: 60 u1: cmH2O st: NotStopd t0: [00:00:00 26/09/2015] id: High Resp. Rate el: 0 cu: CCU cg: CRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 26/09/2015] id: I:E Ratio el: 0 cu: CCU cg: CRT v1: 1:1.7 st: NotStopd t0: [00:00:00 26/09/2015] id: Airway Size el: 0 cu: CCU cg: CRT v1: 7.5 mm st: NotStopd t0: [00:00:00 26/09/2015] id: Airway Type el: 0 cu: CCU cg: CRT v1: Endotracheal st: NotStopd t0: [00:00:00 26/09/2015] id: Inspired Gas Temp el: 0 cu: CCU cg: CRT u1: Deg. C st: NotStopd t0: [00:00:00 26/09/2015] id: Intubation Date el: 0 cu: CCU cg: CRT v1: 7 v2: 23 st: NotStopd t0: [00:00:00 26/09/2015] id: Low Exhaled Min Vol el: 0 cu: CCU cg: CRT v1: 4 st: NotStopd t0: [00:00:00 26/09/2015] id: Low Insp. Pressure el: 0 cu: CCU cg: CRT v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 26/09/2015] id: Mean Airway Pressure el: 0 cu: CCU cg: CRT v1: 14.4 u1: cmH2O st: NotStopd t0: [00:00:00 26/09/2015] id: Minute Volume(Obser) el: 0 cu: CCU cg: CRT v1: 5 u1: L/min st: NotStopd t0: [00:00:00 26/09/2015] id: PAP Mean el: 0 cu: CCU cg: CRT v1: 42 u1: mmHg st: NotStopd t0: [00:00:00 26/09/2015] id: PAP S/D el: 0 cu: CCU cg: CRT v1: 59 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [00:00:00 26/09/2015] id: PEEP Set el: 0 cu: CCU cg: CRT v1: 6 u1: cmH2O st: NotStopd t0: [00:00:00 26/09/2015] id: Arterial BP el: 0 cu: CCU cg: CRT v1: 126 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [00:00:00 26/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: CRT v1: 81 u1: mmHg st: NotStopd t0: [00:00:00 26/09/2015] id: Peak Flow el: 0 cu: CCU cg: CRT v1: 50 u1: L/m st: NotStopd t0: [00:00:00 26/09/2015] id: Peak Insp. Pressure el: 0 cu: CCU cg: CRT v1: 29.9 u1: cmH2O st: NotStopd t0: [00:00:00 26/09/2015] id: Plateau Pressure el: 0 cu: CCU cg: CRT v1: 14.4 u1: cmH2O st: NotStopd t0: [00:00:00 26/09/2015] id: Plateau-Off el: 0 cu: CCU cg: CRT v1: Yes st: NotStopd t0: [00:00:00 26/09/2015] id: Precautions el: 0 cu: CCU cg: CRT v1: Universal st: NotStopd t0: [00:00:00 26/09/2015] id: Previous WeightF el: 0 cu: CCU cg: CRT v1: 72.7 u1: kg st: NotStopd t0: [00:00:00 26/09/2015] id: Resp Rate (Spont) el: 0 cu: CCU cg: CRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 26/09/2015] id: Resp Rate (Total) el: 0 cu: CCU cg: CRT v1: 24 u1: BPM st: NotStopd t0: [00:00:00 26/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: CRT v1: 18 u1: BPM st: NotStopd t0: [00:00:00 26/09/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: CRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 26/09/2015] id: Sensitivity-Vent el: 0 cu: CCU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 26/09/2015] id: SpO2 el: 0 cu: CCU cg: CRT v1: 95 u1: % st: NotStopd t0: [00:00:00 26/09/2015] id: Temperature C el: 0 cu: CCU cg: CRT v1: 37.9 u1: Deg. C st: NotStopd t0: [00:00:00 26/09/2015] id: Temperature F (calc) el: 0 cu: CCU cg: CRT v1: 100.22 u1: Deg. F st: NotStopd t0: [00:00:00 26/09/2015] id: Tidal Volume (Obser) el: 0 cu: CCU cg: CRT v1: 470 u1: ml/B st: NotStopd t0: [00:00:00 26/09/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: CRT v1: 450 u1: ml/B st: NotStopd t0: [00:00:00 26/09/2015] id: Ventilator Mode el: 0 cu: CCU cg: CRT v1: Assist Control st: NotStopd t0: [00:00:00 26/09/2015] id: Ventilator No. el: 0 cu: CCU cg: CRT v1: 3 u1: # st: NotStopd t0: [00:00:00 26/09/2015] id: Ventilator Type el: 0 cu: CCU cg: CRT v1: 7200A st: NotStopd t0: [00:00:00 26/09/2015] id: Waveform-Vent el: 0 cu: CCU cg: CRT v1: RAMP st: NotStopd t0: [00:00:00 26/09/2015] id: calprevflg el: 0 cu: CCU cg: CRT v1: 1 u1: kg st: NotStopd
t0: [00:00:00 26/09/2015] id: Natrecor el: 1 cu: CCU cg: CRT so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 26/09/2015] id: Heparin el: 1 cu: CCU cg: CRT so: D5W vo: 0 v1: 950 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:20:00 24/09/2015] id: Previous WeightF el: 0 cu: CCU cg: 140 u1: kg st: NotStopd t0: [23:05:00 25/09/2015] id: Magnesium Chemistry el: 0 cu: CCU cg: 140 v1: 2.1 rs: Final st: NotStopd t0: [23:05:00 25/09/2015] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 4.1 rs: Final st: NotStopd t0: [23:05:00 25/09/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.1 rs: Final st: NotStopd t0: [23:05:00 25/09/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.1 rs: Final st: NotStopd
t0: [00:00:00 26/09/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWker v1: 223 rs: Manual st: NotStopd
t0: [23:05:00 25/09/2015] id: Vancomycin/Random Drug Level el: 0 cu: CCU cg: 140 v1: 7.3 rs: Final st: NotStopd
t0: [00:26:00 26/09/2015] id: PTT Coags el: 0 cu: CCU cg: 140 v1: 70 rs: Final st: NotStopd t0: [00:26:00 26/09/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 70 rs: Final st: NotStopd
t0: [00:00:00 26/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [00:00:00 26/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 26/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 26/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [01:00:00 26/09/2015] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [01:00:00 26/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 26/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 26/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [01:00:00 26/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 26/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 60 u1: BPM st: NotStopd t0: [01:00:00 26/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 26/09/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 42 u1: mmHg st: NotStopd t0: [01:00:00 26/09/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 56 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [01:00:00 26/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 123 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [01:00:00 26/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [01:00:00 26/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 26/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 72.7 u1: kg st: NotStopd t0: [01:00:00 26/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:00:00 26/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [01:00:00 26/09/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [01:00:00 26/09/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [01:00:00 26/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 25/09/2015] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 50 vu: ml t0: [00:00:00 26/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 26/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 26/09/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.5 vu: ml t0: [00:00:00 26/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 45 vu: ml t0: [00:00:00 26/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml t0: [01:00:00 26/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [01:00:00 26/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [01:00:00 26/09/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.5 vu: ml t0: [01:00:00 26/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 45 vu: ml
t0: [01:00:00 26/09/2015] id: Natrecor el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 26/09/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 950 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 26/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [02:00:00 26/09/2015] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [02:00:00 26/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 26/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 26/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [02:00:00 26/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 26/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 86 u1: BPM st: NotStopd t0: [02:00:00 26/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 26/09/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [02:00:00 26/09/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 51 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [02:00:00 26/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 110 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:00:00 26/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [02:00:00 26/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 26/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 72.7 u1: kg st: NotStopd t0: [02:00:00 26/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 26/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 26/09/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.8 u1: Deg. C st: NotStopd t0: [02:00:00 26/09/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 100.04 u1: Deg. F st: NotStopd t0: [02:00:00 26/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 26/09/2015] id: Natrecor el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 26/09/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 950 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 25/09/2015] id: D5W 250.0ml + 1.5mcgkgmin Natrecor IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 9.3 vu: ml t0: [00:00:00 26/09/2015] id: D5W 250.0ml + 1.5mcgkgmin Natrecor IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 9.3 vu: ml t0: [01:00:00 26/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 30 vu: ml t0: [01:00:00 26/09/2015] id: D5W 250.0ml + 1.5mcgkgmin Natrecor IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 9.3 vu: ml t0: [02:00:00 26/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 26/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 26/09/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.5 vu: ml t0: [02:00:00 26/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 45 vu: ml t0: [02:00:00 26/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 30 vu: ml t0: [02:00:00 26/09/2015] id: D5W 250.0ml + 1.5mcgkgmin Natrecor IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 9.3 vu: ml
t0: [04:00:00 26/09/2015] id: Compliance (40-60ml) el: 0 cu: CCU cg: CRT v1: 17.7165 u1: ml/cmH st: NotStopd t0: [04:00:00 26/09/2015] id: ETT Mark/Location el: 0 cu: CCU cg: CRT v1: 21cm v2: Lip st: NotStopd t0: [04:00:00 26/09/2015] id: FiO2 Set el: 0 cu: CCU cg: CRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 26/09/2015] id: High Insp. Pressure el: 0 cu: CCU cg: CRT v1: 60 u1: cmH2O st: NotStopd t0: [04:00:00 26/09/2015] id: High Resp. Rate el: 0 cu: CCU cg: CRT v1: 40 u1: BPM st: NotStopd t0: [04:00:00 26/09/2015] id: I:E Ratio el: 0 cu: CCU cg: CRT v1: 1:1.9 st: NotStopd t0: [04:00:00 26/09/2015] id: Airway Size el: 0 cu: CCU cg: CRT v1: 7.5 mm st: NotStopd t0: [04:00:00 26/09/2015] id: Airway Type el: 0 cu: CCU cg: CRT v1: Endotracheal st: NotStopd t0: [04:00:00 26/09/2015] id: Inspired Gas Temp el: 0 cu: CCU cg: CRT u1: Deg. C st: NotStopd t0: [04:00:00 26/09/2015] id: Intubation Date el: 0 cu: CCU cg: CRT v1: 7 v2: 23 st: NotStopd t0: [04:00:00 26/09/2015] id: Low Exhaled Min Vol el: 0 cu: CCU cg: CRT v1: 4 st: NotStopd t0: [04:00:00 26/09/2015] id: Low Insp. Pressure el: 0 cu: CCU cg: CRT v1: 15 u1: cmH2O st: NotStopd t0: [04:00:00 26/09/2015] id: Mean Airway Pressure el: 0 cu: CCU cg: CRT v1: 13.4 u1: cmH2O st: NotStopd t0: [04:00:00 26/09/2015] id: Minute Volume(Obser) el: 0 cu: CCU cg: CRT v1: 6.8 u1: L/min st: NotStopd t0: [04:00:00 26/09/2015] id: PEEP Set el: 0 cu: CCU cg: CRT v1: 6 u1: cmH2O st: NotStopd t0: [04:00:00 26/09/2015] id: Peak Flow el: 0 cu: CCU cg: CRT v1: 50 u1: L/m st: NotStopd t0: [04:00:00 26/09/2015] id: Peak Insp. Pressure el: 0 cu: CCU cg: CRT v1: 31.4 u1: cmH2O st: NotStopd t0: [04:00:00 26/09/2015] id: Plateau Pressure el: 0 cu: CCU cg: CRT v1: 24.9 u1: cmH2O st: NotStopd t0: [04:00:00 26/09/2015] id: Plateau-Off el: 0 cu: CCU cg: CRT v1: Yes st: NotStopd t0: [04:00:00 26/09/2015] id: Resp Rate (Spont) el: 0 cu: CCU cg: CRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 26/09/2015] id: Resp Rate (Total) el: 0 cu: CCU cg: CRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 26/09/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: CRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 26/09/2015] id: Sensitivity-Vent el: 0 cu: CCU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 26/09/2015] id: SpO2 el: 0 cu: CCU cg: CRT v1: 100 u1: % st: NotStopd t0: [04:00:00 26/09/2015] id: Tidal Volume (Obser) el: 0 cu: CCU cg: CRT v1: 440 u1: ml/B st: NotStopd t0: [04:00:00 26/09/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: CRT v1: 450 u1: ml/B st: NotStopd t0: [04:00:00 26/09/2015] id: Ventilator Mode el: 0 cu: CCU cg: CRT v1: Assist Control st: NotStopd t0: [04:00:00 26/09/2015] id: Ventilator No. el: 0 cu: CCU cg: CRT v1: 3 u1: # st: NotStopd t0: [04:00:00 26/09/2015] id: Ventilator Type el: 0 cu: CCU cg: CRT v1: 7200A st: NotStopd t0: [04:00:00 26/09/2015] id: Waveform-Vent el: 0 cu: CCU cg: CRT v1: RAMP st: NotStopd
t0: [04:00:00 26/09/2015] id: RSBI (<100) el: 0 cu: CCU cg: CRT v1: 80.6452 u1: units st: NotStopd t0: [04:00:00 26/09/2015] id: RSBI Not Completed el: 0 cu: CCU cg: CRT v1: Other/Remarks st: NotStopd t0: [04:00:00 26/09/2015] id: RSBI (<200) el: 0 cu: CCU cg: CRT v1: 80.6452 u1: units st: NotStopd t0: [04:00:00 26/09/2015] id: Spon RR (Mech.) el: 0 cu: CCU cg: CRT v1: 25 u1: BPM st: NotStopd t0: [04:00:00 26/09/2015] id: Spon. Vt (L) (Mech.) el: 0 cu: CCU cg: CRT v1: 0.31 u1: L st: NotStopd
t0: [02:00:00 26/09/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Thick st: NotStopd t0: [02:00:00 26/09/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [03:00:00 26/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [03:00:00 26/09/2015] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [03:00:00 26/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 26/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [03:00:00 26/09/2015] tf: [11:00:00 13/10/2015] dt: 24960 id: ETT Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [03:00:00 26/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [03:00:00 26/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 26/09/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Called st: NotStopd t0: [03:00:00 26/09/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [03:00:00 26/09/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [03:00:00 26/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [03:00:00 26/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 26/09/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [03:00:00 26/09/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 53 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [03:00:00 26/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 114 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:00:00 26/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [03:00:00 26/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 26/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 72.7 u1: kg st: NotStopd t0: [03:00:00 26/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [03:00:00 26/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 26/09/2015] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Golden v2: Loose st: NotStopd t0: [03:00:00 26/09/2015] id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Positive st: NotStopd t0: [03:00:00 26/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [03:00:00 26/09/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [03:00:00 26/09/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [03:00:00 26/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 26/09/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [04:00:00 26/09/2015] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 26/09/2015] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 7 v2: 25 st: NotStopd t0: [04:00:00 26/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [04:00:00 26/09/2015] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [04:00:00 26/09/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 26/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 26/09/2015] id: Communication el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 26/09/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 26/09/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 26/09/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 26/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 26/09/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 26/09/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 26/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [04:00:00 26/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 26/09/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 26/09/2015] id: Flatus el: 0 cu: CCU cg: RN v1: Positive st: NotStopd t0: [04:00:00 26/09/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 26/09/2015] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [04:00:00 26/09/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [04:00:00 26/09/2015] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 26/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [04:00:00 26/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 26/09/2015] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 7 v2: 25 st: NotStopd t0: [04:00:00 26/09/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [04:00:00 26/09/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 26/09/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 24 st: NotStopd t0: [04:00:00 26/09/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 26/09/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 26/09/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [04:00:00 26/09/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [04:00:00 26/09/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 26/09/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [04:00:00 26/09/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 26/09/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 26/09/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 25 st: NotStopd t0: [04:00:00 26/09/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 26/09/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 26/09/2015] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 26/09/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 26/09/2015] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [04:00:00 26/09/2015] id: ImpSkin Character #2 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [04:00:00 26/09/2015] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [04:00:00 26/09/2015] id: ImpSkin Character #4 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [04:00:00 26/09/2015] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 26/09/2015] id: ImpSkin Treatment #2 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 26/09/2015] id: ImpSkin Treatment #3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 26/09/2015] id: ImpSkin Treatment #4 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 26/09/2015] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [04:00:00 26/09/2015] id: ImpSkin Wound Base#2 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [04:00:00 26/09/2015] id: ImpSkin Wound Base#3 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [04:00:00 26/09/2015] id: ImpSkin Wound Base#4 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [04:00:00 26/09/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Breast st: NotStopd t0: [04:00:00 26/09/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Perineum st: NotStopd t0: [04:00:00 26/09/2015] id: Impaired Skin Site#3 el: 0 cu: CCU cg: RN v1: Extremities, Up st: NotStopd t0: [04:00:00 26/09/2015] id: Impaired Skin Site#4 el: 0 cu: CCU cg: RN v1: Back, Lower st: NotStopd t0: [04:00:00 26/09/2015] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 26/09/2015] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 26/09/2015] id: Inc Dsg/Status #1 el: 0 cu: CCU cg: RN v1: None v2: Intact st: NotStopd t0: [04:00:00 26/09/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 26/09/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 26/09/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 26/09/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 26/09/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [04:00:00 26/09/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 26/09/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 26/09/2015] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 26/09/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 26/09/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 26/09/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: L Femoral st: NotStopd t0: [04:00:00 26/09/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [04:00:00 26/09/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 51 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [04:00:00 26/09/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [04:00:00 26/09/2015] id: Pacemaker Mode el: 0 cu: CCU cg: RN v1: Vent Demand st: NotStopd t0: [04:00:00 26/09/2015] id: Pacemaker Type el: 0 cu: CCU cg: RN v1: Permanent st: NotStopd t0: [04:00:00 26/09/2015] id: Pacer Rate el: 0 cu: CCU cg: RN v1: 60 u1: BPM st: NotStopd t0: [04:00:00 26/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [04:00:00 26/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [04:00:00 26/09/2015] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 26/09/2015] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 26/09/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 26/09/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 26/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 26/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 72.7 u1: kg st: NotStopd t0: [04:00:00 26/09/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 26/09/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 26/09/2015] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 26/09/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 26/09/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 26/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [04:00:00 26/09/2015] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 26/09/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 26/09/2015] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 26/09/2015] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 26/09/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 26/09/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 26/09/2015] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 26/09/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Thick st: NotStopd t0: [04:00:00 26/09/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 26/09/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [04:00:00 26/09/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [04:00:00 26/09/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [04:00:00 26/09/2015] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 26/09/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 26/09/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 26/09/2015] id: Vent Sens/Capture el: 0 cu: CCU cg: RN v1: Yes v2: Yes st: NotStopd t0: [04:00:00 26/09/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 26/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 26/09/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [04:30:00 26/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [04:30:00 26/09/2015] id: CVP el: 0 cu: CCU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [04:30:00 26/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:30:00 26/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:30:00 26/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [04:30:00 26/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [04:30:00 26/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [04:30:00 26/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [04:30:00 26/09/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [04:30:00 26/09/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [04:30:00 26/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 103 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [04:30:00 26/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [04:30:00 26/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:30:00 26/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 72.7 u1: kg st: NotStopd t0: [04:30:00 26/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:30:00 26/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [04:30:00 26/09/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [04:30:00 26/09/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [04:30:00 26/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 26/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [03:00:00 26/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [03:00:00 26/09/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.5 vu: ml t0: [03:00:00 26/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 45 vu: ml st: Stopped t0: [03:00:00 26/09/2015] id: Stool Out Stool el: 1 cu: CCU cg: RN vu: ml es: Small t0: [03:00:00 26/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 70 vu: ml t0: [03:00:00 26/09/2015] id: D5W 250.0ml + 1.5mcgkgmin Natrecor IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 9.3 vu: ml t0: [04:00:00 26/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 26/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 26/09/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.5 vu: ml t0: [04:00:00 26/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 30 vu: ml t0: [04:00:00 26/09/2015] id: D5W 250.0ml + 1.5mcgkgmin Natrecor IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 9.3 vu: ml
t0: [03:00:00 26/09/2015] id: Natrecor el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 26/09/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 950 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 26/09/2015] id: Natrecor el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 26/09/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 950 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:30:00 26/09/2015] id: Natrecor el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:30:00 26/09/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 950 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:05:00 25/09/2015] id: PCWP el: 0 cu: CCU cg: RN u1: mmHg st: NotStopd t0: [04:30:00 26/09/2015] id: PCWP el: 0 cu: CCU cg: RN u1: mmHg st: NotStopd
t0: [04:00:00 26/09/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 72.7 u1: kg st: NotStopd t0: [04:30:00 26/09/2015] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 72.7 u1: kg st: NotStopd t0: [05:05:00 26/09/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd t0: [05:05:00 26/09/2015] id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 138 rs: Final st: NotStopd t0: [05:05:00 26/09/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -2 rs: Final st: NotStopd t0: [05:05:00 26/09/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 23 rs: Final st: NotStopd t0: [05:05:00 26/09/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [05:05:00 26/09/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 111 u1: mmHg rs: Final st: NotStopd t0: [05:05:00 26/09/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd t0: [05:05:00 26/09/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 138 rs: Final st: NotStopd t0: [05:05:00 26/09/2015] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 98 u1: % rs: Final st: NotStopd
t0: [23:00:00 26/09/2015] dt: 24 id: Stool Out Total el: 1 cu: CCU cg: RN cv: 0 ap: carryForward
t0: [05:00:00 26/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [05:00:00 26/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 26/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:00:00 26/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [05:00:00 26/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 26/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 75 u1: BPM st: NotStopd t0: [05:00:00 26/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 26/09/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [05:00:00 26/09/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 87 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [05:00:00 26/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 105 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [05:00:00 26/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [05:00:00 26/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:00:00 26/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 72.7 u1: kg st: NotStopd t0: [05:00:00 26/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [05:00:00 26/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 26/09/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [05:00:00 26/09/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [05:00:00 26/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:30:00 26/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [05:30:00 26/09/2015] id: CVP el: 0 cu: CCU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [05:30:00 26/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:30:00 26/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:30:00 26/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [05:30:00 26/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [05:30:00 26/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [05:30:00 26/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [05:30:00 26/09/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 39 u1: mmHg st: NotStopd t0: [05:30:00 26/09/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 54 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [05:30:00 26/09/2015] id: PCWP el: 0 cu: CCU cg: RN u1: mmHg st: NotStopd t0: [05:30:00 26/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 124 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:30:00 26/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [05:30:00 26/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:30:00 26/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 72.7 u1: kg st: NotStopd t0: [05:30:00 26/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:30:00 26/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [05:30:00 26/09/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [05:30:00 26/09/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [05:30:00 26/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 26/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 26/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 26/09/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.5 vu: ml t0: [05:00:00 26/09/2015] id: D5W 250.0ml + 1.5mcgkgmin Natrecor IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 52.7 vu: ml t0: [05:30:00 26/09/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [05:10:00 26/09/2015] tf: [13:52:00 14/10/2015] dt: 26442 id: Natrecor el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [05:00:00 26/09/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 950 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:10:00 26/09/2015] id: Natrecor el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:30:00 26/09/2015] id: Natrecor el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:30:00 26/09/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 950 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:30:00 26/09/2015] id: ETT Mark/Location el: 0 cu: CCU cg: CRT v1: 21cm v2: Lip st: NotStopd t0: [05:30:00 26/09/2015] id: FiO2 Set el: 0 cu: CCU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [05:30:00 26/09/2015] id: Airway Size el: 0 cu: CCU cg: CRT v1: 7.5 mm st: NotStopd t0: [05:30:00 26/09/2015] id: Airway Type el: 0 cu: CCU cg: CRT v1: Endotracheal st: NotStopd t0: [05:30:00 26/09/2015] id: Intubation Date el: 0 cu: CCU cg: CRT v1: 7 v2: 23 st: NotStopd t0: [05:30:00 26/09/2015] id: Ventilator No. el: 0 cu: CCU cg: CRT v1: 3 u1: # st: NotStopd t0: [05:30:00 26/09/2015] id: Ventilator Type el: 0 cu: CCU cg: CRT v1: 7200A st: NotStopd
t0: [05:00:00 26/09/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 16.1 rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: WBC Hematology el: 0 cu: CCU cg: 140 v1: 16.1 rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 32 u1: % rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.8 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 280 rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.46 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 16.1 rs: Final st: NotStopd t0: [05:05:00 26/09/2015] id: CaO2 el: 0 cu: CCU cg: 140 v1: 14.5267 u1: ml/dl st: NotStopd
t0: [05:59:00 26/09/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 33 u1: % rs: Final st: NotStopd
t0: [05:05:00 26/09/2015] id: DO2I el: 0 cu: CCU cg: RN v1: 354 u1: ml/m/m st: NotStopd t0: [05:30:00 26/09/2015] id: Cardiac Index el: 0 cu: CCU cg: RN v1: 2.36025 u1: ... st: NotStopd t0: [05:30:00 26/09/2015] id: SVR el: 0 cu: CCU cg: RN v1: 1326.32 u1: ... st: NotStopd t0: [05:30:00 26/09/2015] id: SVRI el: 0 cu: CCU cg: RN v1: 2135.59 u1: ... st: NotStopd t0: [05:30:00 26/09/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 61 rs: Manual st: NotStopd t0: [05:30:00 26/09/2015] id: SaO2 ABG's el: 0 cu: CCU cg: RN v1: 98 u1: % rs: Manual st: NotStopd t0: [05:30:00 26/09/2015] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 3.75842 u1: L/min st: NotStopd t0: [06:00:00 26/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [06:00:00 26/09/2015] id: CVP el: 0 cu: CCU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [06:00:00 26/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 26/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:00:00 26/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [06:00:00 26/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 26/09/2015] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 26/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [06:00:00 26/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 26/09/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 26/09/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 26/09/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 40 u1: mmHg st: NotStopd t0: [06:00:00 26/09/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 55 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [06:00:00 26/09/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [06:00:00 26/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 127 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [06:00:00 26/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [06:00:00 26/09/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [06:00:00 26/09/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 26/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 26/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 72.7 u1: kg st: NotStopd t0: [06:00:00 26/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 26/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 26/09/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [06:00:00 26/09/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [06:00:00 26/09/2015] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [06:00:00 26/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 26/09/2015] id: Natrecor el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 26/09/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 950 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 26/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 26/09/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 26/09/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.5 vu: ml t0: [06:00:00 26/09/2015] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [06:00:00 26/09/2015] id: D5W 250.0ml + 1.5mcgkgmin Natrecor IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 12.4 vu: ml
t0: [03:00:00 26/09/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 26/09/2015] tf: [13:52:00 14/10/2015] dt: 26512 id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: Both Arms v2: 8 mm st: NotStopd t0: [04:00:00 26/09/2015] tf: [13:52:00 14/10/2015] dt: 26512 id: Skin Color el: 0 cu: CCU cg: RN v1: Pale st: NotStopd t0: [04:00:00 26/09/2015] tf: [13:52:00 14/10/2015] dt: 26512 id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Warm v2: Dry st: NotStopd t0: [06:00:00 26/09/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [06:00:00 26/09/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [06:00:00 26/09/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd
t0: [00:00:00 26/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 200 vu: ml t0: [04:00:00 26/09/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 200 vu: ml t0: [06:00:00 26/09/2015] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml
t0: [05:00:00 26/09/2015] id: PT el: 0 cu: CCU cg: 140 v1: 15.7 rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: INR Coags el: 0 cu: CCU cg: 140 v1: 1.6 rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: PTT Coags el: 0 cu: CCU cg: 140 v1: 94 rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.6 rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 15.7 rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 94 rs: Final st: NotStopd
t0: [05:00:00 26/09/2015] id: BUN el: 0 cu: CCU cg: 140 v1: 23 rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: Chloride Chemistry el: 0 cu: CCU cg: 140 v1: 115 rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: Creatinine Chemistry el: 0 cu: CCU cg: 140 v1: 0.7 rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 129 rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: Magnesium Chemistry el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: Phosphorous Chemistry el: 0 cu: CCU cg: 140 v1: 2.2 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 4 rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: Sodium Chemistry el: 0 cu: CCU cg: 140 v1: 144 rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 23 rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 115 rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.7 rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 129 rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 2.2 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4 rs: Final st: NotStopd t0: [05:00:00 26/09/2015] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 144 rs: Final st: NotStopd
t0: [07:00:00 26/09/2015] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 16.0714 u1: ml/cmH st: NotStopd t0: [07:00:00 26/09/2015] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [07:00:00 26/09/2015] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [07:00:00 26/09/2015] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 60 u1: cmH2O st: NotStopd t0: [07:00:00 26/09/2015] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [07:00:00 26/09/2015] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:3.3 st: NotStopd t0: [07:00:00 26/09/2015] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [07:00:00 26/09/2015] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [07:00:00 26/09/2015] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [07:00:00 26/09/2015] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [07:00:00 26/09/2015] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [07:00:00 26/09/2015] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [07:00:00 26/09/2015] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [07:00:00 26/09/2015] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.4 u1: L/min st: NotStopd t0: [07:00:00 26/09/2015] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [07:00:00 26/09/2015] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [07:00:00 26/09/2015] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [07:00:00 26/09/2015] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [07:00:00 26/09/2015] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [07:00:00 26/09/2015] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [07:00:00 26/09/2015] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [07:00:00 26/09/2015] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [07:00:00 26/09/2015] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:00:00 26/09/2015] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [07:00:00 26/09/2015] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [07:00:00 26/09/2015] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [07:00:00 26/09/2015] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 3 u1: # st: NotStopd t0: [07:00:00 26/09/2015] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [07:00:00 26/09/2015] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [07:00:00 26/09/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [07:00:00 26/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [07:00:00 26/09/2015] id: CVP el: 0 cu: CCU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [07:00:00 26/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 26/09/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 26/09/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:00:00 26/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:00:00 26/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [07:00:00 26/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [07:00:00 26/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 113 u1: BPM st: NotStopd t0: [07:00:00 26/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 26/09/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 47 u1: mmHg st: NotStopd t0: [07:00:00 26/09/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 56 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [07:00:00 26/09/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 143 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [07:00:00 26/09/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [07:00:00 26/09/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [07:00:00 26/09/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 72.7 u1: kg st: NotStopd t0: [07:00:00 26/09/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [07:00:00 26/09/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [07:00:00 26/09/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [07:00:00 26/09/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [07:00:00 26/09/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 26/09/2015] id: Natrecor el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 26/09/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 950 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 26/09/2015] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Thick st: NotStopd t0: [07:00:00 26/09/2015] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [08:00:00 26/09/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [08:00:00 26/09/2015] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [08:00:00 26/09/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 26/09/2015] id: Communication el: 0 cu: CCU cg: RN v1: Nodding st: NotStopd t0: [08:00:00 26/09/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 26/09/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 26/09/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 26/09/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 26/09/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [08:00:00 26/09/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 26/09/2015] id: Edema Location/Amt#1 el: 0 cu: CCU cg: RN v1: Both Arms v2: 8 mm st: NotStopd t0: [08:00:00 26/09/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 26/09/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Called st: NotStopd t0: [08:00:00 26/09/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 26/09/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 26/09/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 26/09/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 26/09/2015] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 23 st: NotStopd t0: [08:00:00 26/09/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 16 French st: NotStopd t0: [08:00:00 26/09/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 109 u1: BPM st: NotStopd t0: [08:00:00 26/09/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 26/09/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [08:00:00 26/09/2015] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [08:00:00 26/09/2015] id: ImpSkin Character #2 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [08:00:00 26/09/2015] id: ImpSkin Character #3 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [08:00:00 26/09/2015] id: ImpSkin Character #4 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [08:00:00 26/09/2015] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to