This log is also available as text (104ac.txt) and as a (binary) annotation file (104ac.log).
Generated: Thursday, 23-Apr-2009 00:34:43 EDT
(All dates below are surrogates.)
pi: 3354573 hi: 14768 t0: [18:00:00 27/04/2014] tf: [20:00:00 01/05/2014] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 3354574 hi: 14768 t0: [18:00:00 27/04/2014] tf: [00:00:00 28/04/2014] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml D5 1/2NS Continuous at 60 ml/hr ir: 60 it: C ss: N di: Ongoing xu: Enter on Label pi: 3354575 hi: 14768 t0: [18:00:00 27/04/2014] tf: [02:00:00 28/04/2014] mn: Colchicine pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 3354576 hi: 14768 t0: [10:00:00 27/04/2014] tf: [00:00:00 28/04/2014] mn: Lisinopril pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 3354577 hi: 14768 t0: [10:00:00 27/04/2014] tf: [00:00:00 28/04/2014] mn: Pravastatin pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 3354578 hi: 14768 t0: [20:00:00 27/04/2014] tf: [00:00:00 28/04/2014] mn: Metoprolol pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 3354579 hi: 14768 t0: [18:00:00 27/04/2014] tf: [00:00:00 28/04/2014] mn: Oxycodone-Acetaminophen pt: Unit Dose st: Discontinued rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 3354581 hi: 14768 t0: [20:00:00 27/04/2014] tf: [00:00:00 28/04/2014] mn: Acetylcysteine 20% pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 dt: 4 di: Doses xv: 36 xu: Hours
pi: 3355138 hi: 14768 t0: [00:00:00 28/04/2014] tf: [02:00:00 28/04/2014] mn: Nitroglycerin SL pt: Unit Dose st: Discontinued rt: SL fr: PRN di: Ongoing xv: 36 xu: Hours pi: 3355139 hi: 14768 t0: [10:00:00 28/04/2014] tf: [00:00:00 28/04/2014] mn: Aspirin pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 3355140 hi: 14768 t0: [00:00:00 28/04/2014] tf: [00:00:00 28/04/2014] mn: Aluminum-Magnesium Hydrox.-Simethicone pt: Unit Dose st: Discontinued rt: PO fr: QID:PRN di: Ongoing xv: 36 xu: Hours pi: 3355141 hi: 14768 t0: [00:00:00 28/04/2014] tf: [23:00:00 28/04/2014] pt: IV Piggyback st: Expired rt: PB fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Amiodarone io: D5W 250.0ml + 600mgmin Amiodarone el: 100 cg: RN cu: CCU am: 600 du: mgmin rt: IV Drip id: Neosynephrine-k io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k el: 100 cg: RN cu: CCU am: 60 du: mcgkgmin rt: IV Drip
id: SAPS-I t0: [00:00:00 28/04/2014] el: 0 cg: LCP cu: LCP at MIT n1: 12
io: D5W 250.0ml + 600mgmin Amiodarone el: 1 cg: RN cu: CCU ra: 0 ru: ml/hr io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k el: 1 cg: RN cu: CCU ra: 33.5 ru: ml/hr
pi: 3355251 hi: 14768 t0: [01:00:00 28/04/2014] tf: [02:00:00 28/04/2014] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 3355252 hi: 14768 t0: [01:00:00 28/04/2014] tf: [02:00:00 28/04/2014] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 85 ml/hr ir: 85 it: C ss: N di: Ongoing xu: Enter on Label pi: 3355253 hi: 14768 t0: [01:00:00 28/04/2014] tf: [02:00:00 28/04/2014] mn: Phenylephrine HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 3355254 hi: 14768 t0: [01:00:00 28/04/2014] tf: [02:00:00 28/04/2014] mn: Amiodarone HCl pt: IV Piggyback st: Discontinued rt: IV fr: INFUSION di: Ongoing xu: Enter on Label pi: 3355255 hi: 14768 t0: [10:00:00 28/04/2014] tf: [02:00:00 28/04/2014] mn: Aspirin pt: Unit Dose st: Discontinued rt: PR fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Ectopy Frequency t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Respiratory Rate t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [00:15:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: BSA t0: [00:17:00 28/04/2014] el: 1033 cg: -1 cu: CCU v1: 1.80772 n1: 1.80772 u1: m2 id: Admit Wt t0: [00:17:00 28/04/2014] el: 1032 cg: -1 cu: CCU v1: 67 n1: 67 u1: kg id: Allergy 1 t0: [00:17:00 28/04/2014] el: 1020 cg: -1 cu: CCU id: Diagnosis/op t0: [00:17:00 28/04/2014] el: 1023 cg: -1 cu: CCU v1: CLAUDICATION id: Service t0: [00:17:00 28/04/2014] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [00:17:00 28/04/2014] el: 1034 cg: -1 cu: CCU v1: 69 n1: 69 u1: inches id: Readmission t0: [00:17:00 28/04/2014] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [00:17:00 28/04/2014] el: 1006 cg: -1 cu: CCU v1: S id: Religion t0: [00:17:00 28/04/2014] el: 1000 cg: -1 cu: CCU v1: RCA id: Allergy 2 t0: [00:17:00 28/04/2014] el: 1021 cg: -1 cu: CCU id: Ext t0: [00:17:00 28/04/2014] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [00:17:00 28/04/2014] el: 1022 cg: -1 cu: CCU
id: Ectopy Frequency t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IV #1 Insert Date t0: [00:10:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [00:10:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [00:10:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [00:10:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [00:10:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:10:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: NBP t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 68.3333 n1: 68.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 67.6667 n1: 67.6667 u1: mmHg st: NotStopd id: Previous Weight t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous Weight t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous Weight t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: BSA - English t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1.16747 n1: 1.16747 u1: m2 st: NotStopd id: BSA - Metric t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1.36561 n1: 1.36561 u1: m2 st: NotStopd id: Weight Change t0: [00:15:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd
id: Amiodarone t0: [00:20:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [00:25:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [00:15:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.0955224 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [00:20:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Ectopy Frequency t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 67.3333 n1: 67.3333 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:20:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:25:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [00:30:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [00:30:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [00:25:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [00:30:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PT t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 13.6 n1: 13.6 rs: Final st: NotStopd id: INR t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 31.7 n1: 31.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 13.6 n1: 13.6 rs: Final st: NotStopd id: PTT(22-35) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 31.7 n1: 31.7 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 5.7 n1: 5.7 rs: Final st: NotStopd id: WBC t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 5.7 n1: 5.7 rs: Final st: NotStopd id: Hematocrit t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 27.2 n1: 27.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 9.8 n1: 9.8 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 2.87 n1: 2.87 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 5.7 n1: 5.7 rs: Final st: NotStopd
pi: 3355330 hi: 14768 t0: [02:00:00 28/04/2014] tf: [02:00:00 28/04/2014] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 3355331 hi: 14768 t0: [02:00:00 28/04/2014] tf: [02:00:00 28/04/2014] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 3355332 hi: 14768 t0: [02:00:00 28/04/2014] tf: [02:00:00 28/04/2014] mn: Magnesium Sulfate pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: BUN t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 52 n1: 52 rs: Final st: NotStopd id: Calcium t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 130 n1: 130 rs: Final st: NotStopd id: Magnesium t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd id: BUN (6-20) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 52 n1: 52 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 130 n1: 130 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd
id: Risk for Falls t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: EKG st: NotStopd id: Respiratory Rate t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: calprevflg t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [00:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [00:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [01:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Diet Type t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Eye Opening t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Abdominal Assessment t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: PostTib. Pulses R/L t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: RLL Lung Sounds t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Color/Appear t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yellow st: NotStopd id: Urine Source t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Pre-Admission Intake t0: [00:00:00 28/04/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 1000 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [00:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [00:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [00:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: HOB t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Assistance Device t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Turn t0: [01:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd
id: KCL io: .9% Normal Saline 500.0ml el: 100 cg: RN cu: CCU am: 40 du: mEq rt: Intravenous Push
io: .9% Normal Saline 500.0ml el: 1 cg: RN cu: CCU ra: 125 ru: ml/hr
pi: 3355383 hi: 14768 t0: [10:00:00 28/04/2014] tf: [20:00:00 01/05/2014] mn: Pravastatin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 3355384 hi: 14768 t0: [08:00:00 28/04/2014] tf: [17:00:00 29/04/2014] mn: Heparin pt: Unit Dose st: Discontinued rt: SC fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 3355385 hi: 14768 t0: [08:00:00 28/04/2014] tf: [20:00:00 01/05/2014] mn: Docusate Sodium pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 3355386 hi: 14768 t0: [03:00:00 28/04/2014] tf: [20:00:00 01/05/2014] mn: Senna pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID:PRN di: Ongoing xv: 36 xu: Hours pi: 3355387 hi: 14768 t0: [10:00:00 28/04/2014] tf: [20:00:00 01/05/2014] mn: Clopidogrel Bisulfate pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 3355388 hi: 14768 t0: [03:00:00 28/04/2014] tf: [03:00:00 30/04/2014] mn: Phenylephrine HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 3355389 hi: 14768 t0: [03:00:00 28/04/2014] tf: [12:00:00 28/04/2014] mn: Amiodarone HCl pt: IV Piggyback st: Discontinued rt: IV fr: INFUSION di: Ongoing xu: Enter on Label pi: 3355413 hi: 14768 t0: [10:00:00 28/04/2014] tf: [20:00:00 01/05/2014] mn: Aspirin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 3355414 hi: 14768 t0: [08:00:00 28/04/2014] tf: [19:00:00 30/04/2014] mn: Acetylcysteine 20% pt: Unit Dose st: Expired rt: PO fr: BID ds: 08, 20 dn: 2 dt: 3 di: Doses xv: 36 xu: Hours pi: 3355415 hi: 14768 t0: [03:00:00 28/04/2014] tf: [20:00:00 01/05/2014] mn: Oxycodone-Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 3355416 hi: 14768 t0: [03:00:00 28/04/2014] tf: [20:00:00 01/05/2014] pt: IV Large Volume st: Discontinued via patient discharge rt: IV fr: ASDIR iv: 150 mEq Sodium Bicarbonate/ 1000 ml D5W Continuous at 65 ml/hr ir: 65 it: C ss: N di: Ongoing xu: Enter on Label
id: Riker-SAS Scale t0: [00:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90.3333 n1: 90.3333 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [01:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [02:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [02:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Po Intake t0: [02:00:00 28/04/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [02:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 31.25 vu: ml id: .9% Normal Saline 500.0ml t0: [02:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [02:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 44.8 vu: ml id: Urine Out Foley t0: [02:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: IV Infusion In Total t0: [23:00:00 28/04/2014] el: 2 cg: RN cu: CCU cv: 1043.05 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 28/04/2014] el: 2 cg: RN cu: CCU cv: 2963.05 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 28/04/2014] el: 2 cg: RN cu: CCU cv: 120 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 28/04/2014] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 28/04/2014] el: 2 cg: RN cu: CCU cv: 1360 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 28/04/2014] el: 2 cg: RN cu: CCU cv: 1603.05 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 28/04/2014] el: 2 cg: RN cu: CCU cv: 1603.05 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 28/04/2014] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 28/04/2014] el: 2 cg: RN cu: CCU cv: 1360 ac: 24 ap: none re: 0
id: ALT t0: [00:13:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd
io: .9% Normal Saline 250.0ml el: 1 cg: RN cu: CCU ra: 125 ru: ml/hr
id: Riker-SAS Scale t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 65.3333 n1: 65.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [03:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [04:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [03:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [04:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 600mgmin Amiodarone t0: [04:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 500.0ml t0: [04:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 250 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [04:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 33.5 vu: ml id: Urine Out Foley t0: [04:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Risk for Falls t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: calprevflg t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [05:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [05:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Diet Type t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Eye Opening t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: LLL Lung Sounds t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: RLL Lung Sounds t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Source t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [05:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd
id: Magnesium Sulfate io: .9% Normal Saline 250.0ml el: 201 cg: RN cu: CCU am: 3 du: gm rt: Intravenous Push
id: Riker-SAS Scale t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 72.6667 n1: 72.6667 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [06:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [06:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [06:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 250.0ml t0: [02:00:00 28/04/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 250.0ml t0: [04:00:00 28/04/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 250 vu: ml
id: D5W 250.0ml + 600mgmin Amiodarone t0: [06:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 500.0ml t0: [06:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 250 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [06:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 33.5 vu: ml st: Stopped id: .9% Normal Saline 250.0ml t0: [06:00:00 28/04/2014] el: 2 ai: 107 cg: RN cu: CCU vo: 0 vu: ml st: Stopped id: Urine Out Foley t0: [06:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Pain Present t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 28/04/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: IV #1 Insert Date t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LUL Lung Sounds t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: NBP t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 75.6667 n1: 75.6667 u1: mmHg st: NotStopd id: Orientation t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: Position t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RUL Lung Sounds t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Turn t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Source t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [07:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [08:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 500.0ml t0: [08:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml
id: Amiodarone t0: [07:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [08:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [07:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [08:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 6.7 n1: 6.7 rs: Final st: NotStopd id: WBC t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 6.7 n1: 6.7 rs: Final st: NotStopd id: Hematocrit t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 31.6 n1: 31.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 11.2 n1: 11.2 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: RBC t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 3.33 n1: 3.33 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 6.7 n1: 6.7 rs: Final st: NotStopd
id: BUN t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 rs: Final st: NotStopd id: Calcium t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 8.9 n1: 8.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd id: Magnesium t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 5.5 n1: 5.5 rs: Final st: NotStopd id: Sodium t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd id: BUN (6-20) t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 8.9 n1: 8.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 5.5 n1: 5.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd
id: Pain Present t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Pain Location t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [09:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [10:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [11:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [09:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [10:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [11:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Education Barrier t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GCS Total t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Abdominal Assessment t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Insert Date t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Insert Date t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bed as Chair st: NotStopd id: IV Site Appear #1 t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Motor Response t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Pain Location t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: RLL Lung Sounds t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Side Rails t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Temp. Site t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temp. Site t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: Deg. F st: NotStopd id: Temperature F t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: Deg. F st: NotStopd id: Turn t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Turn t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Turn t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Verbal Response t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: Pre-Admission Intake t0: [08:00:00 28/04/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 100 vu: ml id: Pre-Admission Intake t0: [11:00:00 28/04/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 100 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [09:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [10:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [11:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [11:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 550 vu: ml
id: NBP t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd
pi: 3356648 hi: 14768 t0: [20:00:00 28/04/2014] tf: [05:00:00 01/05/2014] mn: Metoprolol pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 3356649 hi: 14768 t0: [16:00:00 28/04/2014] tf: [05:00:00 01/05/2014] mn: Captopril pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Risk for Falls t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Abdominal Assessment t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 72.6667 n1: 72.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [11:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Urine Color/Appear t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [12:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12.5 vu: ml
id: Amiodarone t0: [12:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [12:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: CPK/MB t0: [09:14:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd
id: Pain Present t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Location t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd
id: Pre-Admission Intake t0: [12:00:00 28/04/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 240 vu: ml
id: Pain Present t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Activity t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bed as Chair st: NotStopd id: Level of Conscious t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: O2 Delivery Device t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Pain Location t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: Turn t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: calprevflg t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [13:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12.5 vu: ml
id: Amiodarone t0: [13:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [13:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: CPK/MB t0: [11:36:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd
id: Pain Present t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Risk for Falls t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Heart Rate t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: IV #1 Insert Date t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Insert Date t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Insert Date t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Level of Conscious t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: NBP t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 84.3333 n1: 84.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Pain Location t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Side Rails t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: SpO2 t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Turn t0: [13:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Turn t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Source t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [14:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 12.5 vu: ml
id: Amiodarone t0: [14:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [14:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: NBP t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 62.6667 n1: 62.6667 u1: mmHg st: NotStopd
id: Urine Out Foley t0: [14:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 180 vu: ml
id: Risk for Falls t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 74.3333 n1: 74.3333 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 35.8333 n1: 35.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 96.5 n1: 96.5 u1: Deg. F st: NotStopd id: calprevflg t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [16:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [16:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Present t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Present t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Risk for Falls t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Abdominal Assessment t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Insert Date t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Insert Date t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 63.6667 n1: 63.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 71.3333 n1: 71.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: Pain Location t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Turn t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Turn t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Turn t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [15:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [15:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [16:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [17:00:00 28/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml
id: Amiodarone t0: [15:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [17:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [15:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [17:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [17:00:00 28/04/2014] el: 0 cg: CoWker cu: CCU v1: 141 n1: 141 rs: Manual st: NotStopd
id: Pain Present t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Risk for Falls t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM st: NotStopd id: Heart Rate t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: IV #1 Insert Date t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Insert Date t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Level of Conscious t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: NBP t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 70.3333 n1: 70.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 68.6667 n1: 68.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Turn t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Turn t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Source t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [18:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [17:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Behavior t0: [19:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd
id: Pre-Admission Intake t0: [17:00:00 28/04/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 240 vu: ml id: Urine Out Foley t0: [19:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Amiodarone t0: [18:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [19:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [18:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [19:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [11:36:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 47 n1: 47 rs: Final st: NotStopd id: Creatinine t0: [11:36:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Magnesium t0: [11:36:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Potassium t0: [11:36:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 5.5 n1: 5.5 rs: Final st: NotStopd id: BUN (6-20) t0: [11:36:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 47 n1: 47 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [11:36:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [11:36:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [11:36:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 5.5 n1: 5.5 rs: Final st: NotStopd
id: Pain Present t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Risk for Falls t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: IV #1 Insert Date t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Dangle st: NotStopd id: IV Site Appear #1 t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 57.6667 n1: 57.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Orientation t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Assistance Device t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Independent st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 35.3333 n1: 35.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 95.6 n1: 95.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [21:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Amiodarone t0: [20:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [21:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [20:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [21:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Risk for Falls t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [22:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pre-Admission Intake t0: [22:00:00 28/04/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 120 vu: ml
id: Amiodarone t0: [22:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [22:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Hematocrit t0: [21:31:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 29.3 n1: 29.3 u1: % rs: Final st: NotStopd
id: Fingerstick Glucose t0: [22:00:00 28/04/2014] el: 0 cg: CoWker cu: CCU v1: 119 n1: 119 rs: Manual st: NotStopd
id: BUN t0: [21:31:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 rs: Final st: NotStopd id: Creatinine t0: [21:31:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Magnesium t0: [21:31:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Potassium t0: [21:31:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 4.9 n1: 4.9 rs: Final st: NotStopd id: BUN (6-20) t0: [21:31:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [21:31:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [21:31:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [21:31:00 28/04/2014] el: 0 cg: 1663 cu: CCU v1: 4.9 n1: 4.9 rs: Final st: NotStopd
id: Risk for Falls t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: calprevflg t0: [23:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [23:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [23:00:00 28/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 600mgmin Amiodarone t0: [00:00:00 29/04/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [00:00:00 29/04/2014] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Risk for Falls t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [20:00:00 28/04/2014] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Heart Rate t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: IV #1 Insert Date t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Level of Conscious t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: NBP t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 65.3333 n1: 65.3333 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Source t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: Amiodarone t0: [00:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [00:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Risk for Falls t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: BSA t0: [00:55:00 29/04/2014] el: 1033 cg: -1 cu: CCU v1: 1.80772 n1: 1.80772 u1: m2 id: calprevflg t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Admit Wt t0: [00:55:00 29/04/2014] el: 1032 cg: -1 cu: CCU v1: 67 n1: 67 u1: kg id: Allergy 1 t0: [00:55:00 29/04/2014] el: 1020 cg: -1 cu: CCU id: Diagnosis/op t0: [00:55:00 29/04/2014] el: 1023 cg: -1 cu: CCU v1: CLAUDICATION id: Service t0: [00:55:00 29/04/2014] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [00:55:00 29/04/2014] el: 1034 cg: -1 cu: CCU v1: 69 n1: 69 u1: inches id: Readmission t0: [00:55:00 29/04/2014] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [00:55:00 29/04/2014] el: 1006 cg: -1 cu: CCU v1: S id: Religion t0: [00:55:00 29/04/2014] el: 1000 cg: -1 cu: CCU v1: RCA id: Allergy 2 t0: [00:55:00 29/04/2014] el: 1021 cg: -1 cu: CCU id: Ext t0: [00:55:00 29/04/2014] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [00:55:00 29/04/2014] el: 1022 cg: -1 cu: CCU
id: NBP t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd
id: Risk for Falls t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: LLL Lung Sounds t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Orientation t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Urine Color/Appear t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [02:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [00:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 300 vu: ml id: Urine Out Foley t0: [02:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Total Hourly Output t0: [23:00:00 29/04/2014] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 29/04/2014] el: 2 cg: RN cu: CCU cv: 2760 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 29/04/2014] el: 2 cg: RN cu: CCU pv: 20 cv: -1300 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 29/04/2014] el: 2 cg: RN cu: CCU pv: 20 cv: 303.05 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 29/04/2014] el: 2 cg: RN cu: CCU pv: 20 cv: 20 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 29/04/2014] el: 2 cg: RN cu: CCU cv: 2820 ac: 24 ap: none re: 0
id: Risk for Falls t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 67.6667 n1: 67.6667 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Risk for Falls t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 73.6667 n1: 73.6667 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: O2 Delivery Device t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Pain Location t0: [00:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd
id: WBC (4-11,000) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 6.4 n1: 6.4 rs: Final st: NotStopd id: WBC t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 6.4 n1: 6.4 rs: Final st: NotStopd id: Hematocrit t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 29.5 n1: 29.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 10.1 n1: 10.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: RBC t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 3.08 n1: 3.08 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 6.4 n1: 6.4 rs: Final st: NotStopd
id: Pain Level t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Present t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: IV #1 Insert Date t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Level of Conscious t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 54.3333 n1: 54.3333 u1: mmHg st: NotStopd id: Orientation t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Location t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: Pain Management t0: [04:00:00 29/04/2014] el: 1 cg: RN cu: CCU v1: PO Med st: NotStopd id: Pain Type t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Assistance Device t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Turn t0: [04:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [05:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [05:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: PT t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 12.3 n1: 12.3 rs: Final st: NotStopd id: INR t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 31.7 n1: 31.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 12.3 n1: 12.3 rs: Final st: NotStopd id: PTT(22-35) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 31.7 n1: 31.7 rs: Final st: NotStopd
id: BUN t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 rs: Final st: NotStopd id: Calcium t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 8.7 n1: 8.7 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 4.8 n1: 4.8 rs: Final st: NotStopd id: Sodium t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd id: BUN (6-20) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 8.7 n1: 8.7 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 4.8 n1: 4.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:26:00 29/04/2014] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd
id: Risk for Falls t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 57.6667 n1: 57.6667 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [06:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pre-Admission Intake t0: [04:00:00 29/04/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 60 vu: ml
id: Pain Present t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Risk for Falls t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Abdominal Assessment t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Insert Date t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: IV Site Appear #1 t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 77.6667 n1: 77.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 74.6667 n1: 74.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: Pain Management t0: [08:00:00 29/04/2014] el: 1 cg: RN cu: CCU v1: PO Med st: NotStopd id: Pain Type t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Temp. Site t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [07:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Walks Occasional st: NotStopd id: Braden Frict/Shear t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: Urine Out Foley t0: [08:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 600 vu: ml id: Urine Out Foley t0: [11:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: Urine Out Foley t0: [12:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
pi: 3360814 hi: 14768 t0: [17:00:00 29/04/2014] tf: [16:00:00 29/04/2014] mn: Morphine Sulfate pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 3360827 hi: 14768 t0: [17:00:00 29/04/2014] tf: [15:00:00 30/04/2014] mn: Morphine Sulfate pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q2H ds: 17, 19, 21, 23, 1, 3, 5, 7, 9, 11, 13, 15 dn: 12 di: Ongoing xv: 36 xu: Hours
id: Code Status t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Temp. Site t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd
id: O2 Delivery Device t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd
id: Urine Out Foley t0: [16:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 290 vu: ml
id: Arterial BP t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd
id: Dorsal PedPulse R/L t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Eye Opening t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Level of Conscious t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Verbal Response t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd
id: HOB t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Activity t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Position t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd
id: Procedures t0: [11:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Cardiac Cath st: NotStopd
pi: 3360940 hi: 14768 t0: [18:00:00 29/04/2014] tf: [23:00:00 29/04/2014] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IVPCA fr: ASDIR dn: 0 di: Ongoing xv: 36 xu: Hours pi: 3361003 hi: 14768 t0: [18:00:00 29/04/2014] tf: [17:00:00 29/04/2014] mn: Heparin pt: IV Piggyback st: Discontinued rt: IV fr: ASDIR it: N ss: Y di: Ongoing xv: 36 xu: Hours
id: Pain Level t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 6-Mod to Severe st: NotStopd id: Pain Present t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Code Status t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [17:00:00 29/04/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Family Communication t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: Heart Rate t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: O2 Delivery Device t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Arterial BP t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Pain Cause t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 6-Mod to Severe st: NotStopd id: Pain Location t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Pain Management t0: [17:00:00 29/04/2014] el: 1 cg: RN cu: CCU v1: IV Push st: NotStopd id: Pain Type t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Arterial BP Mean t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sheath D/C st: NotStopd id: RLL Lung Sounds t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Urine Color/Appear t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Walks Occasional st: NotStopd id: Braden Frict/Shear t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: .9% Normal Saline t0: [17:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Pain Present t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Code Status t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [18:00:00 29/04/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [16:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Dorsal PedPulse R/L t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Dorsal PedPulse R/L t0: [17:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: HOB t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: HOB t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IV #1 Insert Date t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Site/Size t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: O2 Delivery Device t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Arterial BP t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Pain Cause t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: Pain Management t0: [18:00:00 29/04/2014] el: 1 cg: RN cu: CCU v1: IV Push st: NotStopd id: Pain Type t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Arterial BP Mean t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [16:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [17:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Side Rails t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Side Rails t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: SpO2 t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Support Systems t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Turn t0: [17:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: calprevflg t0: [18:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [18:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Cath Lab Intake t0: [16:00:00 29/04/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 1200 vu: ml id: Urine Out Foley t0: [18:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 110 vu: ml id: OR Out OR Urine t0: [16:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Arterial BP t0: [20:00:00 29/04/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Arterial BP Mean t0: [20:00:00 29/04/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: Temperature C t0: [20:00:00 29/04/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: Pre-Admission Intake t0: [20:00:00 29/04/2014] el: 1 ai: 190 cg: -1 cu: CCU vo: 0 st: D/C'd id: OR Out OR Urine t0: [20:00:00 29/04/2014] el: 1 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Service Type t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: NBP Mean t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 73.3333 n1: 73.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 79.6667 n1: 79.6667 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous Weight t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous Weight t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [19:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [20:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Temp. Site t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd
io: .9% Normal Saline el: 1 cg: RN cu: CCU ra: 10 ru: ml/hr
id: Service Type t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rate t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 74.6667 n1: 74.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 74.6667 n1: 74.6667 u1: mmHg st: NotStopd id: Precautions t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous Weight t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [20:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:30:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [21:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Service Type t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 81.6667 n1: 81.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 72.3333 n1: 72.3333 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: Previous WeightF t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 66.9 n1: 66.9 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [00:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline t0: [23:00:00 29/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [00:00:00 30/04/2014] el: 1 cg: RN cu: CCU vo: 260 vu: ml id: Urine Out Foley t0: [22:00:00 29/04/2014] el: 1 cg: RN cu: CCU vo: 210 vu: ml
id: IV Infusion In Total t0: [23:00:00 29/04/2014] el: 2 cg: RN cu: CCU pv: 20 cv: 60 ac: 24 ap: none re: 0
id: Service Type t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Alarms t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 71.6667 n1: 71.6667 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: calprevflg t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [01:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Service Type t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Runs Vtach st: NotStopd id: Ectopy Frequency t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Runs Vtach st: NotStopd id: Ectopy Frequency t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 71.6667 n1: 71.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 59.3333 n1: 59.3333 u1: mmHg st: NotStopd id: Precautions t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:30:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: HOB Measurement t0: [03:00:00 30/04/2014] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 3362315 hi: 14768 t0: [08:00:00 30/04/2014] tf: [20:00:00 01/05/2014] mn: Heparin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 48.6667 n1: 48.6667 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [00:00:00 30/04/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 200 vu: ml id: Po Intake t0: [22:00:00 29/04/2014] el: 1 ai: 103 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline t0: [03:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [03:00:00 30/04/2014] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: 24h Total In t0: [23:00:00 29/04/2014] el: 2 cg: RN cu: CCU pv: 20 cv: 1520 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 29/04/2014] el: 2 cg: RN cu: CCU cv: 200 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 30/04/2014] el: 2 cg: RN cu: -1 cv: 200 ac: 24 ap: none re: 0
id: Pain Level t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Level t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1-None to Mild st: NotStopd id: Pain Level t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Present t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Present t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [01:00:00 30/04/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [03:00:00 30/04/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 29/04/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [22:00:00 29/04/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: IV #1 Reason DC'D t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Infiltrated st: NotStopd id: Diet Type t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: House st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Education Barrier t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Cardiac Cath st: NotStopd id: Eye Opening t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GCS Total t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GCS Total t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: HOB t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: HOB t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Abdominal Assessment t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Abdominal Assessment t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Abdominal Assessment t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 D/C Date t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 21 n2: 21 st: NotStopd id: IV #1 Insert Date t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 21 n2: 21 st: NotStopd id: IV #1 Insert Date t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 21 n2: 21 st: NotStopd id: IV #1 Insert Date t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: IV #1 Insert Date t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 21 n2: 21 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV #1 Site/Size t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV #1 Site/Size t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Insert Date t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Dangle st: NotStopd id: Activity t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Infiltrated st: NotStopd id: IV Site Appear #1 t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [21:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LLL Lung Sounds t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LLL Lung Sounds t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Level of Conscious t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #1 t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #1 t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: O2 Delivery Device t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Orientation t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Orientation t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Pain Cause t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Cause t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Cause t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Level (Rest) t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 1-None to Mild st: NotStopd id: Pain Level (Rest) t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Location t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: Pain Location t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Location t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: Pain Location t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: Pain Management t0: [20:00:00 29/04/2014] el: 1 cg: RN cu: CCU v1: Repositioned st: NotStopd id: Pain Management t0: [22:00:00 29/04/2014] el: 1 cg: RN cu: CCU v1: IV Push st: NotStopd id: Pain Type t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Burning st: NotStopd id: Pain Type t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Pain Type t0: [22:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Position t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Independent st: NotStopd id: Assistance Device t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Independent st: NotStopd id: Assistance Device t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RLL Lung Sounds t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RLL Lung Sounds t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Side Rails t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Side Rails t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Side Rails t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Integrity t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Integrity t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Support Systems t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Turn t0: [01:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Turn t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [23:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Verbal Response t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Verbal Response t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Behavior t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Behavior t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Behavior t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [00:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Bowel Sounds t0: [03:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Bowel Sounds t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 29/04/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Service Type t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 65.3333 n1: 65.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 72.3333 n1: 72.3333 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [04:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [05:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [05:00:00 30/04/2014] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Temp. Site t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd
id: Pain Level t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Present t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [05:00:00 30/04/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Pain Cause t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Location t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Both Legs st: NotStopd id: Pain Management t0: [05:00:00 30/04/2014] el: 1 cg: RN cu: CCU v1: IV Push st: NotStopd id: Pain Type t0: [05:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Burning st: NotStopd id: Precautions t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 3362568 hi: 14768 t0: [08:00:00 30/04/2014] tf: [07:00:00 01/05/2014] mn: Vancomycin HCl pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: PT t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 12.4 n1: 12.4 rs: Final st: NotStopd id: INR t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 28.7 n1: 28.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 12.4 n1: 12.4 rs: Final st: NotStopd id: PTT(22-35) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 28.7 n1: 28.7 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 6.1 n1: 6.1 rs: Final st: NotStopd id: WBC t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 6.1 n1: 6.1 rs: Final st: NotStopd id: Hematocrit t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 29.2 n1: 29.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 9.9 n1: 9.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 rs: Final st: NotStopd id: RBC t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 3.05 n1: 3.05 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 6.1 n1: 6.1 rs: Final st: NotStopd
id: BUN t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Calcium t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 9.2 n1: 9.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Phosphorous t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 5.1 n1: 5.1 rs: Final st: NotStopd id: Sodium t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd id: BUN (6-20) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 9.2 n1: 9.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 5.1 n1: 5.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [06:10:00 30/04/2014] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd
id: Pain Present t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [07:00:00 30/04/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Abdominal Assessment t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 21 n2: 21 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Angio Dressing #1 t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: O2 Delivery Device t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Independent st: NotStopd id: Precautions t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Side Rails t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Support Systems t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Therapeutic Bed t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Behavior t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Walks Occasional st: NotStopd id: Braden Frict/Shear t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: No Limitations st: NotStopd id: Braden Moisture t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: .9% Normal Saline t0: [06:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline t0: [07:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline t0: [08:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Service Type t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: BPM st: NotStopd id: Precautions t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: calprevflg t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heart Rhythm t0: [07:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [08:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd
id: Pain Present t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Daily Wake Up t0: [09:00:00 30/04/2014] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: O2 Delivery Device t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Precautions t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temperature C (calc) t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: calprevflg t0: [09:00:00 30/04/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [09:00:00 30/04/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline t0: [09:00:00 30/04/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 30/04/2014] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: IV Infusion In Total t0: [23:00:00 30/04/2014] el: 2 cg: RN cu: -1 cv: 300 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 30/04/2014] el: 2 cg: RN cu: -1 cv: 500 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 30/04/2014] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 30/04/2014] el: 2 cg: RN cu: -1 cv: 650 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 30/04/2014] el: 2 cg: RN cu: -1 cv: -150 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 30/04/2014] el: 2 cg: RN cu: -1 cv: 153.05 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 30/04/2014] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 30/04/2014] el: 2 cg: RN cu: -1 cv: 650 ac: 24 ap: none re: 0
pi: 3363398 hi: 14768 t0: [13:00:00 30/04/2014] tf: [20:00:00 01/05/2014] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued via patient discharge rt: IV fr: Q 12H ds: 8, 20 dn: 2 dt: 48 di: Hours xv: 36 xu: Hours
ci: 31076 t0: [00:16:00 28/04/2014] cu: CCU de: Regular ward dt: 3643
pi: 3364073 hi: 14768 t0: [16:00:00 30/04/2014] tf: [20:00:00 01/05/2014] mn: Morphine Sulfate pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: Q2H:PRN di: Ongoing xv: 36 xu: Hours
pi: 3366191 hi: 14768 t0: [10:00:00 01/05/2014] tf: [20:00:00 01/05/2014] mn: Metoprolol XL pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 3366192 hi: 14768 t0: [10:00:00 01/05/2014] tf: [20:00:00 01/05/2014] mn: Lisinopril pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4064510 hi: 10689 t0: [21:00:00 28/11/2014] tf: [09:00:00 29/11/2014] mn: Acetaminophen pt: Unit Dose st: Discontinued rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4064924 hi: 10689 t0: [00:00:00 29/11/2014] tf: [08:00:00 29/12/2014] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4064925 hi: 10689 t0: [08:00:00 29/11/2014] tf: [15:00:00 23/12/2014] mn: Sotalol HCl pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4064926 hi: 10689 t0: [00:00:00 29/11/2014] tf: [10:00:00 30/12/2014] mn: Mexiletine HCl pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q8H ds: 0, 8, 16 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4064927 hi: 10689 t0: [00:00:00 29/11/2014] tf: [13:00:00 11/12/2014] mn: Allopurinol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: EVERY OTHER DAY di: Ongoing xv: 36 xu: Hours pi: 4064928 hi: 10689 t0: [10:00:00 29/11/2014] tf: [03:00:00 10/12/2014] mn: Aspirin pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4064929 hi: 10689 t0: [10:00:00 29/11/2014] tf: [08:00:00 29/12/2014] mn: Pravastatin pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4064930 hi: 10689 t0: [00:00:00 29/11/2014] tf: [09:00:00 03/12/2014] mn: Oxycodone (Sustained Release) pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q12H ds: 0, 12 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4064931 hi: 10689 t0: [00:00:00 29/11/2014] tf: [10:00:00 31/12/2014] mn: Oxycodone-Acetaminophen pt: Unit Dose st: Discontinued rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4064932 hi: 10689 t0: [00:00:00 29/11/2014] tf: [13:00:00 29/11/2014] mn: Acetaminophen pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q6H ds: 0, 6, 12, 18 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4064933 hi: 10689 t0: [10:00:00 29/11/2014] tf: [14:00:00 29/11/2014] mn: Metoprolol XL pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4064934 hi: 10689 t0: [10:00:00 29/11/2014] tf: [11:00:00 29/11/2014] mn: Prednisone pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4064935 hi: 10689 t0: [08:00:00 29/11/2014] tf: [17:00:00 29/11/2014] mn: Heparin pt: Unit Dose st: Discontinued rt: SC fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4064936 hi: 10689 t0: [08:00:00 29/11/2014] tf: [22:00:00 05/01/2015] mn: Docusate Sodium pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4064937 hi: 10689 t0: [22:00:00 29/11/2014] tf: [03:00:00 10/12/2014] mn: Senna pt: Unit Dose st: Discontinued rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4064938 hi: 10689 t0: [00:00:00 29/11/2014] tf: [23:00:00 29/11/2014] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4065144 hi: 10689 t0: [02:00:00 29/11/2014] tf: [22:00:00 05/01/2015] mn: Albuterol 0.083% Neb Soln pt: Unit Dose st: Discontinued via patient discharge rt: IH fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4065145 hi: 10689 t0: [02:00:00 29/11/2014] tf: [22:00:00 05/01/2015] mn: Ipratropium Bromide Neb pt: Unit Dose st: Discontinued via patient discharge rt: IH fr: Q6H ds: 2, 8, 14, 20 dn: 4 di: Ongoing xv: 36 xu: Hours
pi: 4065693 hi: 10689 t0: [10:00:00 29/11/2014] tf: [09:00:00 22/12/2014] mn: HydrALAZINE HCl pt: Unit Dose st: Discontinued rt: PO fr: Q6H ds: 10, 16, 22, 4 dn: 4 di: Ongoing xv: 36 xu: Hours
pi: 4065789 hi: 10689 t0: [11:00:00 29/11/2014] tf: [10:00:00 30/11/2014] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4065790 hi: 10689 t0: [11:00:00 29/11/2014] tf: [10:00:00 30/11/2014] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4065917 hi: 10689 t0: [10:00:00 29/11/2014] tf: [03:00:00 10/12/2014] mn: Clopidogrel Bisulfate pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4065957 hi: 10689 t0: [12:00:00 29/11/2014] tf: [13:00:00 11/12/2014] mn: Colchicine pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: EVERY OTHER DAY di: Ongoing xv: 36 xu: Hours
pi: 4066303 hi: 10689 t0: [08:00:00 29/11/2014] tf: [20:00:00 07/12/2014] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q 24H ds: 8 dn: 1 dt: 72 di: Hours xv: 36 xu: Hours pi: 4066323 hi: 10689 t0: [14:00:00 29/11/2014] tf: [22:00:00 05/01/2015] mn: Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4066366 hi: 10689 t0: [10:00:00 29/11/2014] tf: [14:00:00 29/11/2014] mn: Metoprolol XL pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4066369 hi: 10689 t0: [10:00:00 29/11/2014] tf: [08:00:00 26/12/2014] mn: Metoprolol XL pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4066381 hi: 10689 t0: [20:00:00 29/11/2014] tf: [22:00:00 05/01/2015] mn: Calcium Carbonate pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4066859 hi: 10689 t0: [20:00:00 29/11/2014] tf: [19:00:00 30/11/2014] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4067016 hi: 10689 t0: [21:00:00 29/11/2014] tf: [20:00:00 30/11/2014] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4067725 hi: 10689 t0: [09:00:00 30/11/2014] tf: [08:00:00 01/12/2014] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4068785 hi: 10689 t0: [17:00:00 30/11/2014] tf: [16:00:00 01/12/2014] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4070479 hi: 10689 t0: [12:00:00 01/12/2014] tf: [11:00:00 02/12/2014] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4074092 hi: 10689 t0: [08:00:00 02/12/2014] tf: [20:00:00 07/12/2014] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 24H ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4076117 hi: 10689 t0: [23:00:00 02/12/2014] tf: [09:00:00 17/12/2014] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
pi: 4077215 hi: 10689 t0: [12:00:00 03/12/2014] tf: [13:00:00 23/12/2014] mn: Oxycodone (Sustained Release) pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q12H ds: 0, 12 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4078135 hi: 10689 t0: [15:00:00 03/12/2014] tf: [14:00:00 04/12/2014] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4080902 hi: 10689 t0: [11:00:00 04/12/2014] tf: [08:00:00 17/12/2014] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4084705 hi: 10689 t0: [13:00:00 05/12/2014] tf: [11:00:00 08/12/2014] mn: Levofloxacin pt: Unit Dose st: Discontinued rt: PO fr: Q24H ds: 13 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4084706 hi: 10689 t0: [14:00:00 05/12/2014] tf: [11:00:00 08/12/2014] mn: Metronidazole pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
pi: 4085225 hi: 10689 t0: [15:00:00 05/12/2014] tf: [09:00:00 17/12/2014] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4085226 hi: 10689 t0: [15:00:00 05/12/2014] tf: [15:00:00 10/12/2014] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 20 mEq Potassium Chloride / 1000 mL D5NS Continuous at 80 ml/hr ir: 80 it: C ss: N di: Ongoing xu: Enter on Label
pi: 4085442 hi: 10689 t0: [16:00:00 05/12/2014] tf: [09:00:00 17/12/2014] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
pi: 4085874 hi: 10689 t0: [18:00:00 05/12/2014] tf: [20:00:00 07/12/2014] mn: Gentamicin pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q12H ds: 8, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4091280 hi: 10689 t0: [21:00:00 07/12/2014] tf: [09:00:00 10/12/2014] mn: Gentamicin pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 21 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4091281 hi: 10689 t0: [08:00:00 07/12/2014] tf: [06:00:00 08/12/2014] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q 24H ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4091282 hi: 10689 t0: [21:00:00 07/12/2014] tf: [22:00:00 09/12/2014] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 75 ml/hr ir: 75 it: C ss: N di: Ongoing xu: Enter on Label
pi: 4092191 hi: 10689 t0: [08:00:00 08/12/2014] tf: [11:00:00 08/12/2014] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q 24H ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4092936 hi: 10689 t0: [08:00:00 08/12/2014] tf: [14:00:00 08/12/2014] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q 24H ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4093492 hi: 10689 t0: [08:00:00 09/12/2014] tf: [17:00:00 19/12/2014] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q 24H ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4093810 hi: 10689 t0: [16:00:00 08/12/2014] tf: [09:00:00 18/12/2014] mn: Levofloxacin pt: Unit Dose st: Discontinued rt: PO fr: Q24H ds: 16 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4093927 hi: 10689 t0: [17:00:00 08/12/2014] tf: [22:00:00 05/01/2015] mn: Milk of Magnesia pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4097158 hi: 10689 t0: [10:00:00 09/12/2014] tf: [09:00:00 15/12/2014] mn: Lisinopril pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4097159 hi: 10689 t0: [10:00:00 09/12/2014] tf: [14:00:00 09/12/2014] mn: Phytonadione pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 dt: 3 di: Days xv: 36 xu: Hours pi: 4097160 hi: 10689 t0: [10:00:00 09/12/2014] tf: [09:00:00 10/12/2014] mn: Phytonadione pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 dt: 3 di: Days xv: 36 xu: Hours
id: SAPS-I t0: [00:00:00 10/12/2014] el: 0 cg: LCP cu: LCP at MIT n1: 12
pi: 4099157 hi: 10689 t0: [01:00:00 10/12/2014] tf: [03:00:00 10/12/2014] mn: Promethazine HCl pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4099293 hi: 10689 t0: [02:00:00 10/12/2014] tf: [03:00:00 10/12/2014] mn: Pantoprazole pt: IV Piggyback st: Discontinued rt: IV BOLUS fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4099294 hi: 10689 t0: [02:00:00 10/12/2014] tf: [09:00:00 10/12/2014] mn: Pantoprazole pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label
id: KCL io: D5NS 1000.0ml el: 100 cg: RN cu: T-SICU am: 20 du: mEq rt: Intravenous Push
io: .9% Normal Saline el: 1 cg: RN cu: T-SICU ra: 25 ru: ml/hr io: D5NS 1000.0ml el: 1 cg: RN cu: T-SICU ra: 80 ru: ml/hr
id: BSA t0: [03:06:00 10/12/2014] el: 1033 cg: 8 cu: T-SICU id: Admit Wt t0: [03:06:00 10/12/2014] el: 1032 cg: 8 cu: T-SICU id: Allergy 1 t0: [03:06:00 10/12/2014] el: 1020 cg: 8 cu: T-SICU id: Diagnosis/op t0: [03:06:00 10/12/2014] el: 1023 cg: 8 cu: T-SICU v1: AICD FIRING id: Service t0: [03:06:00 10/12/2014] el: 1026 cg: 8 cu: T-SICU v1: CME id: Admit Ht t0: [03:06:00 10/12/2014] el: 1034 cg: 8 cu: T-SICU id: Readmission t0: [03:06:00 10/12/2014] el: 1014 cg: 8 cu: T-SICU id: Marital Status t0: [03:06:00 10/12/2014] el: 1006 cg: 8 cu: T-SICU v1: S id: Religion t0: [03:06:00 10/12/2014] el: 1000 cg: 8 cu: T-SICU v1: RCA id: Allergy 2 t0: [03:06:00 10/12/2014] el: 1021 cg: 8 cu: T-SICU id: Ext t0: [03:06:00 10/12/2014] el: 1010 cg: 8 cu: T-SICU id: Allergy 3 t0: [03:06:00 10/12/2014] el: 1022 cg: 8 cu: T-SICU
id: Service Type t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Heart Rate t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: IV #1 Insert Date t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: IV #2 Site/Size t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: IV Site Appear #1 t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: NBP t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 116 n1: 116 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 71.3333 n1: 71.3333 u1: mmHg st: NotStopd id: Precautions t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: calprevflg t0: [03:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Level t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8-Severe st: NotStopd id: Pain Present t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Pain Assess Method t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Code Status t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Daily Wake Up t0: [03:30:00 10/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Diet Type t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: NPO st: NotStopd id: Ectopy Type t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: GI#1 Intub Site t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Salem Sump v2: Right Nare st: NotStopd id: Eye Opening t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 3 To speech st: NotStopd id: GCS Total t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Low Cont Suction v2: Coffee Ground st: NotStopd id: HOB t0: [03:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Abdominal Assessment t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft Distended st: NotStopd id: Activity t0: [03:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Alert st: NotStopd id: Motor Response t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 108 n1: 108 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 71.3333 n1: 71.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Oral Cavity t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Cause t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8-Severe st: NotStopd id: Pain Location t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Shoulder st: NotStopd id: Pain Management t0: [03:30:00 10/12/2014] el: 1 cg: RN cu: T-SICU v1: Repositioned st: NotStopd id: Position t0: [03:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Doppler st: NotStopd id: Assistance Device t0: [03:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: RLL Lung Sounds t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Side Rails t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Integrity t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: SpO2 t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [03:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 3 Inapprop words st: NotStopd id: Back Care t0: [03:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: calprevflg t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Hypoactive st: NotStopd id: Braden Activity t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Very Limited st: NotStopd id: Braden Moisture t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [03:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [03:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 0 vu: ml nb: 1 id: D5NS 1000.0ml t0: [03:30:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [03:30:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 50 vu: ml
id: Pain Assess Method t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Code Status t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Education Barrier t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Altered LOC st: NotStopd id: Education Handout t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Education Learner t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Explanation st: NotStopd id: Education Readiness t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Education Response t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Disease Process st: NotStopd id: Eye Care t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: HOB t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 degrees st: NotStopd id: Heart Rate t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Activity t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Inc Cleansing #1 t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Normal Saline st: NotStopd id: Inc Closure/Appear#1 t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Pink st: NotStopd id: Inc Closure/Appear#3 t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #2 t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Serosanguinous v2: Moderate st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Changed st: NotStopd id: Inc Dsg/Status #3 t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Changed st: NotStopd id: NBP t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 108 n1: 108 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 71.3333 n1: 71.3333 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Position t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: Assistance Device t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Respiratory Rate t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Side Rails t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: SpO2 t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Side to Side st: NotStopd id: calprevflg t0: [04:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [04:00:00 10/12/2014] el: 1 ai: 109 cg: RN cu: T-SICU vo: 25 vu: ml id: D5NS 1000.0ml t0: [04:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 40 vu: ml id: Urine Out Foley t0: [04:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 40 vu: ml
id: WBC (4-11,000) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 11 n1: 11 rs: Final st: NotStopd id: WBC t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 11 n1: 11 rs: Final st: NotStopd id: Hematocrit t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 27.9 n1: 27.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 9.4 n1: 9.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 245 n1: 245 rs: Final st: NotStopd id: RBC t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 3.18 n1: 3.18 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 11 n1: 11 rs: Final st: NotStopd
id: Pre-Admission Output Pre-Admission Output t0: [23:00:00 09/12/2014] el: 1 cg: RN cu: T-SICU vo: 1400 vu: ml
id: 24h Net Body Balance t0: [23:00:00 09/12/2014] el: 1 cg: RN cu: T-SICU pv: -1400 cv: -1400 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 09/12/2014] el: 2 cg: RN cu: CCU pv: -1400 cv: -1400 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 09/12/2014] el: 1 cg: RN cu: T-SICU pv: -1400 cv: -1400 ac: multiple days ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 09/12/2014] el: 2 cg: RN cu: CCU pv: -1400 cv: -1400 ac: multiple days ap: none re: 0 id: 24h Total Out t0: [23:00:00 09/12/2014] el: 1 cg: RN cu: T-SICU pv: 1400 cv: 1400 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 09/12/2014] el: 2 cg: RN cu: CCU pv: 1400 cv: 1400 ac: 24 ap: none re: 0
id: Code Status t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Protonix t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 id: Risk for Falls t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 117 n1: 117 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 76.3333 n1: 76.3333 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Respiratory Rate t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [05:00:00 10/12/2014] el: 1 ai: 109 cg: RN cu: T-SICU vo: 25 vu: ml id: D5NS 1000.0ml t0: [05:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 80 vu: ml id: Urine Out Foley t0: [05:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 45 vu: ml
id: BUN t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 63 n1: 63 rs: Final st: NotStopd id: Albumin t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Calcium t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 124 n1: 124 rs: Final st: NotStopd id: Magnesium t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 140 n1: 140 rs: Final st: NotStopd id: Total Bili t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: ALT t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 68 n1: 68 rs: Final st: NotStopd id: Albumin (>3.2) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: BUN (6-20) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 63 n1: 63 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 124 n1: 124 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 140 n1: 140 rs: Final st: NotStopd
id: PT t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 16.1 n1: 16.1 rs: Final st: NotStopd id: INR t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 31.4 n1: 31.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 16.1 n1: 16.1 rs: Final st: NotStopd id: PTT(22-35) t0: [04:24:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 31.4 n1: 31.4 rs: Final st: NotStopd
id: Pain Present t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Pain Assess Method t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Code Status t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [06:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Eye Opening t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 3 To speech st: NotStopd id: GCS Total t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 degrees st: NotStopd id: Heart Rate t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Activity t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Alert st: NotStopd id: Motor Response t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 119 n1: 119 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 74.3333 n1: 74.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Oral Care t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Management t0: [06:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU v1: Repositioned st: NotStopd id: Position t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Assistance Device t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Total Lift st: NotStopd id: Precautions t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Respiratory Rate t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Verbal Response t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [06:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [06:00:00 10/12/2014] el: 1 ai: 109 cg: RN cu: T-SICU vo: 25 vu: ml id: D5NS 1000.0ml t0: [06:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 80 vu: ml id: Gastric Nasogastric t0: [06:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 50 vu: ml id: Urine Out Foley t0: [06:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 30 vu: ml
id: Gastric Out Total t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU cv: 50 ac: 24 ap: none re: 0 id: Gastric Out Total t0: [23:00:00 10/12/2014] el: 2 cg: RN cu: CCU cv: 50 ac: 24 ap: none re: 0
id: Pain Assess Method t0: [07:40:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [07:40:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Code Status t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Protonix t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 id: Risk for Falls t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 108 n1: 108 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP t0: [07:40:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 102 n1: 102 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 64.6667 n1: 64.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [07:40:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 63.3333 n1: 63.3333 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Respiratory Rate t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:40:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [07:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Service Type t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Protonix t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 id: Riker-SAS Scale t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: NPO st: NotStopd id: Ectopy Frequency t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Education Topic #1 t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Low Cont Suction v2: Coffee Ground st: NotStopd id: HOB t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 degrees st: NotStopd id: Heart Rate t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Abdominal Assessment t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: Activity t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Incision/Wound #2 t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, L Lower st: NotStopd id: Incision/Wound #3 t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: LLL Lung Sounds t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 107 n1: 107 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 69.6667 n1: 69.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Oral Cavity t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Supervised st: NotStopd id: Precautions t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Side Rails t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Hyperactive st: NotStopd id: Braden Activity t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [08:00:00 10/12/2014] el: 1 ai: 109 cg: RN cu: T-SICU vo: 50 vu: ml id: D5NS 1000.0ml t0: [08:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 160 vu: ml id: Urine Out Foley t0: [08:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 120 vu: ml
pi: 4100043 hi: 10689 t0: [10:00:00 10/12/2014] tf: [09:00:00 17/12/2014] mn: Pantoprazole pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 10, 22 dn: 2 di: Ongoing xu: Enter on Label pi: 4100044 hi: 10689 t0: [10:00:00 10/12/2014] tf: [21:00:00 10/12/2014] mn: Phytonadione pt: Unit Dose st: Inactive (Due to a change order) rt: SC fr: DAILY ds: 10 dn: 1 dt: 3 di: Days xv: 36 xu: Hours
id: Service Type t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Protonix t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 id: Risk for Falls t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: HOB t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 degrees st: NotStopd id: Heart Rate t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Activity t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: NBP t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 107 n1: 107 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 64.3333 n1: 64.3333 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: Assistance Device t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 Person Assist st: NotStopd id: Precautions t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: BPM st: NotStopd id: Skin Care t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: SpO2 t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Side to Side st: NotStopd id: Back Care t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [08:00:00 10/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 120 vu: ml id: .9% Normal Saline t0: [09:00:00 10/12/2014] el: 1 ai: 109 cg: RN cu: T-SICU vo: 25 vu: ml id: D5NS 1000.0ml t0: [09:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 80 vu: ml id: GT Flush t0: [08:00:00 10/12/2014] el: 1 ai: 338 cg: RN cu: T-SICU vo: 20 vu: ml id: Urine Out Foley t0: [09:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 45 vu: ml
id: .9% Normal Saline t0: [10:00:00 10/12/2014] el: 1 ai: 107 cg: -1 cu: T-SICU vo: 0 st: D/C'd
id: Service Type t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 110 n1: 110 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 66.6667 n1: 66.6667 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 10/12/2014] el: 2 ai: 105 cg: RN cu: T-SICU vo: 250 vu: ml id: D5NS 1000.0ml t0: [10:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 80 vu: ml id: Urine Out Foley t0: [10:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 45 vu: ml
id: Service Type t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Rare st: NotStopd id: Ectopy Type t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 117 n1: 117 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 77.6667 n1: 77.6667 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [11:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 80 vu: ml id: Urine Out Foley t0: [11:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 20 vu: ml
id: IV #2 Reason DC'D t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Infiltrated st: NotStopd id: IV #2 D/C Date t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #2 Insert Date t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: IV #2 Site/Size t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: IV Site Appear #2 t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Infiltrated st: NotStopd
id: WBC (4-11,000) t0: [09:53:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 10.6 n1: 10.6 rs: Final st: NotStopd id: WBC t0: [09:53:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 10.6 n1: 10.6 rs: Final st: NotStopd id: Hematocrit t0: [09:53:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 25.1 n1: 25.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [09:53:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 8.8 n1: 8.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [09:53:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 243 n1: 243 rs: Final st: NotStopd id: RBC t0: [09:53:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 2.87 n1: 2.87 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [09:53:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 10.6 n1: 10.6 rs: Final st: NotStopd
id: IV #3 Insert Date t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #3 t0: [11:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd
id: IV #2 Insert Date t0: [11:01:00 10/12/2014] el: 0 cg: -1 cu: T-SICU st: D/C'd id: IV #2 Site/Size t0: [11:01:00 10/12/2014] el: 0 cg: -1 cu: T-SICU st: D/C'd
id: IV #2 Reason DC'D t0: [12:00:00 10/12/2014] el: 0 cg: -1 cu: T-SICU st: D/C'd id: GI#1 Tube PlaceCheck t0: [12:00:00 10/12/2014] el: 0 cg: -1 cu: T-SICU st: D/C'd id: GI#1 Tube Stat/Drain t0: [12:00:00 10/12/2014] el: 0 cg: -1 cu: T-SICU st: D/C'd id: IV #2 D/C Date t0: [12:00:00 10/12/2014] el: 0 cg: -1 cu: T-SICU st: D/C'd id: IV Site Appear #2 t0: [12:00:00 10/12/2014] el: 0 cg: -1 cu: T-SICU st: D/C'd
id: GT Flush t0: [12:00:00 10/12/2014] el: 1 ai: 338 cg: -1 cu: T-SICU vo: 0 st: D/C'd id: Gastric Nasogastric t0: [12:00:00 10/12/2014] el: 1 cg: -1 cu: T-SICU vo: 0 st: D/C'd
id: Pain Present t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Pain Present t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Pain Assess Method t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [10:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: PainLevel Acceptable t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Service Type t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [10:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Doppler st: NotStopd id: Ectopy Frequency t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: GI#1 Intub Site t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Eye Opening t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Salem Sump v2: Right Nare st: NotStopd id: Heart Rate t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Level of Conscious t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 111 n1: 111 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 74.3333 n1: 74.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: Pain Management t0: [10:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU v1: PO Med st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Doppler st: NotStopd id: Precautions t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Urine Source t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [12:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 80 vu: ml id: Urine Out Foley t0: [12:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 45 vu: ml
id: Service Type t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Service Type t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Service Type t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Service Type t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Service Type t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Service Type t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Code Status t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Code Status t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Code Status t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Code Status t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Code Status t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Risk for Falls t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Risk for Falls t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Risk for Falls t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Risk for Falls t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Risk for Falls t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Diet Type t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: NPO st: NotStopd id: Ectopy Frequency t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Frequency t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Frequency t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Frequency t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Frequency t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Frequency t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Education Barrier t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Medicated st: NotStopd id: Education Handout t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Patient st: NotStopd id: Education Method t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Explanation st: NotStopd id: Education Readiness t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Health Care Proxy t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Health Care Proxy t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Health Care Proxy t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Health Care Proxy t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Health Care Proxy t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Health Care Proxy t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Education Response t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Endoscopy st: NotStopd id: HOB t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 degrees st: NotStopd id: Heart Rate t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Heart Rhythm t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Heart Rhythm t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Heart Rhythm t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Heart Rhythm t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Heart Rhythm t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Abdominal Assessment t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Good st: NotStopd id: Inc Cleansing #1 t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Normal Saline st: NotStopd id: Inc Closure/Appear#1 t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Erythema st: NotStopd id: Inc Drainage/Amt #1 t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Purulent v2: Copious st: NotStopd id: Inc Dsg/Status #2 t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Incision/Wound #2 t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, L Lower st: NotStopd id: Incision/Wound #3 t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: LLL Lung Sounds t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: NBP t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 112 n1: 112 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 111 n1: 111 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 87 n1: 87 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 75 n1: 75 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 86 n1: 86 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP Mean t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 74 n1: 74 u1: mmHg st: NotStopd id: NBP Mean t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 69.6667 n1: 69.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 64.6667 n1: 64.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 63.6667 n1: 63.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 52.3333 n1: 52.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 56 n1: 56 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Management t0: [12:10:00 10/12/2014] el: 1 cg: RN cu: T-SICU st: NotStopd id: Position t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Supine st: NotStopd id: Assistance Device t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Precautions t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Precautions t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Precautions t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Precautions t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Precautions t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PressSore Drng/Amt#1 t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Serosanguinous v2: Scant st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Endoscopy st: NotStopd id: RLL Lung Sounds t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Side Rails t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: SpO2 t0: [12:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [12:10:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:15:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:25:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [12:20:00 10/12/2014] el: 2 ai: 105 cg: RN cu: T-SICU vo: 750 vu: ml
pi: 4100787 hi: 10689 t0: [14:00:00 10/12/2014] tf: [13:00:00 11/12/2014] mn: Fentanyl Citrate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4100788 hi: 10689 t0: [14:00:00 10/12/2014] tf: [13:00:00 11/12/2014] mn: Midazolam HCl pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4100789 hi: 10689 t0: [14:00:00 10/12/2014] tf: [13:00:00 11/12/2014] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 750 ml Over 15 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 83 n1: 83 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 63.6667 n1: 63.6667 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [13:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 25 vu: ml
id: HOB t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: Activity t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Oral Care t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Assistance Device t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Therapeutic Bed t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd
id: Pain Present t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Pain Assess Method t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Service Type t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Rare st: NotStopd id: Ectopy Type t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 64.3333 n1: 64.3333 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [14:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [13:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 80 vu: ml id: D5NS 1000.0ml t0: [14:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 80 vu: ml id: Urine Out Foley t0: [14:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 45 vu: ml
id: Service Type t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Rare st: NotStopd id: Ectopy Type t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 103 n1: 103 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [15:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 80 vu: ml id: Urine Out Foley t0: [15:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 60 vu: ml
id: Blood Products t0: [15:52:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: Y rs: Final st: NotStopd
id: Hematocrit t0: [15:30:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 24.1 n1: 24.1 u1: % rs: Final st: NotStopd
id: Pain Present t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Service Type t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: NPO st: NotStopd id: Ectopy Frequency t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Education Topic #1 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Endoscopy st: NotStopd id: Eye Care t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Abdominal Assessment t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Erythema st: NotStopd id: Inc Closure/Appear#2 t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU st: NotStopd id: Inc Closure/Appear#2 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Closure/Appear#3 t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Closure/Appear#3 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Purulent v2: Copious st: NotStopd id: Inc Drainage/Amt #2 t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU st: NotStopd id: Inc Drainage/Amt #2 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Drainage/Amt #3 t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Drainage/Amt #3 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU st: NotStopd id: Inc Dsg/Status #2 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #3 t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None v2: Intact st: NotStopd id: Incision/Wound #1 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Incision/Wound #2 t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU st: NotStopd id: Incision/Wound #2 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, L Lower st: NotStopd id: Incision/Wound #3 t0: [13:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: Incision/Wound #3 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: LLL Lung Sounds t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 104 n1: 104 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 67.3333 n1: 67.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Care t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Doppler st: NotStopd id: Assistance Device t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 Person Assist st: NotStopd id: Precautions t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PressSore Drng/Amt#1 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Serosanguinous v2: Scant st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Side Rails t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: SpO2 t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: Back Care t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd id: Bowel Sounds t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Sl. Limited st: NotStopd
id: D5NS 1000.0ml t0: [16:00:00 10/12/2014] el: 1 ai: 107 cg: RN cu: T-SICU vo: 80 vu: ml st: Stopped id: Urine Out Foley t0: [16:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 45 vu: ml
id: PT t0: [15:30:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 15.5 n1: 15.5 rs: Final st: NotStopd id: INR t0: [15:30:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [15:30:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 30 n1: 30 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [15:30:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [15:30:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 15.5 n1: 15.5 rs: Final st: NotStopd id: PTT(22-35) t0: [15:30:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 30 n1: 30 rs: Final st: NotStopd
id: Service Type t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Rare st: NotStopd id: Ectopy Type t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: NBP t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 109 n1: 109 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Packed RBC's t0: [16:45:00 10/12/2014] el: 1 ai: 117 cg: RN cu: T-SICU vo: 375 vu: ml uu: Units id: Urine Out Foley t0: [17:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 25 vu: ml
id: Incision/Wound #1 t0: [17:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd
id: Service Type t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 106 n1: 106 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [18:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [18:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 45 vu: ml
id: Hematocrit t0: [18:19:00 10/12/2014] el: 0 cg: 140 cu: T-SICU v1: 25.9 n1: 25.9 u1: % rs: Final st: NotStopd
id: Service Type t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Rare st: NotStopd id: Ectopy Type t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 113 n1: 113 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [19:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [19:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 40 vu: ml
pi: 4102135 hi: 10689 t0: [20:00:00 10/12/2014] tf: [09:00:00 25/12/2014] mn: Fluconazole pt: Unit Dose st: Discontinued rt: PO fr: Q24H ds: 20 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Service Type t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: NPO st: NotStopd id: Ectopy Type t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Education Barrier t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Medicated st: NotStopd id: Education Handout t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Education Response t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Abdominal Assessment t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Inc Closure/Appear#3 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #2 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Drainage/Amt #3 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Packing v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #1 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: LLL Lung Sounds t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 108 n1: 108 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 66.6667 n1: 66.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Weak Palpable st: NotStopd id: Precautions t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Side Rails t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Guaiac t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Temp. Site t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [20:00:00 10/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 240 vu: ml id: Urine Out Foley t0: [20:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 40 vu: ml
id: PO/Gastric In Total t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU cv: 380 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 10/12/2014] el: 2 cg: RN cu: CCU cv: 380 ac: 24 ap: none re: 0
pi: 4102581 hi: 10689 t0: [10:00:00 10/12/2014] tf: [09:00:00 11/12/2014] mn: Phytonadione pt: Unit Dose st: Expired rt: SC fr: DAILY ds: 10 dn: 1 dt: 1 di: Days xv: 36 xu: Hours
id: Service Type t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Code Status t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Risk for Falls t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Health Care Proxy t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Eye Care t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: HOB t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Heart Rhythm t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Activity t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: NBP t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: NBP t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 53.3333 n1: 53.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 53.3333 n1: 53.3333 u1: mmHg st: NotStopd id: Oral Care t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Assistance Device t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Precautions t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Through Dermis v2: No st: NotStopd id: PressSore Drng/Amt#1 t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Serosanguinous v2: Small st: NotStopd id: PressSoreCleansing#1 t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Normal Saline st: NotStopd id: PressSoreWoundBase#1 t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Red st: NotStopd id: Pressure Sore Odor#1 t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 22 n1: 22 u1: BPM st: NotStopd id: Skin Care t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Skin Integrity t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: SpO2 t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: Temperature C (calc) t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [21:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Temperature F t0: [21:20:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Side to Side st: NotStopd id: calprevflg t0: [21:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:05:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Packed RBC's t0: [21:05:00 10/12/2014] el: 1 ai: 117 cg: RN cu: T-SICU vu: ml uh: 1 uu: Units id: Urine Out Foley t0: [21:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 60 vu: ml
id: Blood Products Total t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU cv: 375 ac: 24 ap: none re: 0 id: Blood Products Total t0: [23:00:00 10/12/2014] el: 2 cg: RN cu: CCU cv: 375 ac: 24 ap: none re: 0
id: D5W 100.0ml t0: [21:00:00 10/12/2014] el: 2 ai: 105 cg: RN cu: T-SICU vo: 100 vu: ml
id: IV Infusion In Total t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU cv: 2250 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 10/12/2014] el: 2 cg: RN cu: CCU cv: 2250 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU cv: 3005 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 10/12/2014] el: 2 cg: RN cu: CCU cv: 3005 ac: 24 ap: none re: 0
id: Code Status t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 101 n1: 101 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 65.6667 n1: 65.6667 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Respiratory Rate t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [22:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 45 vu: ml
id: Code Status t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 108 n1: 108 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 63.3333 n1: 63.3333 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Respiratory Rate t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU u1: Deg. F st: NotStopd id: calprevflg t0: [23:00:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU vo: 35 vu: ml
id: Total Hourly Output t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU pv: 35 cv: 35 ac: 1 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 10/12/2014] el: 2 cg: RN cu: CCU pv: 35 cv: 35 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU pv: 35 cv: 905 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 10/12/2014] el: 2 cg: RN cu: CCU pv: 35 cv: 905 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU pv: -35 cv: 2050 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 10/12/2014] el: 2 cg: RN cu: CCU pv: -35 cv: 2050 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU pv: -35 cv: 650 ac: multiple days ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 10/12/2014] el: 2 cg: RN cu: CCU pv: -35 cv: 650 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU pv: -35 cv: -35 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 10/12/2014] el: 2 cg: RN cu: CCU pv: -35 cv: -35 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 10/12/2014] el: 1 cg: RN cu: T-SICU pv: 35 cv: 955 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 10/12/2014] el: 2 cg: RN cu: CCU pv: 35 cv: 955 ac: 24 ap: none re: 0
id: Service Type t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Alarms t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: HOB t0: [23:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: IV #1 Insert Date t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [23:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Activity Tolerance t0: [23:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Oral Care t0: [23:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [23:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [23:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: Assistance Device t0: [23:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PressureReduceDevice t0: [23:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [23:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:30:00 10/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: calprevflg t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: GI Prophylaxis t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: NPO st: NotStopd id: Eye Opening t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: points st: NotStopd id: Abdominal Assessment t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Weak Palpable st: NotStopd id: RLL Lung Sounds t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Stool Guaiac t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yellow st: NotStopd id: Urine Source t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd
id: Ectopy Type t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: NBP t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 111 n1: 111 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 73 n1: 73 u1: mmHg st: NotStopd
id: Pain Present t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: Daily Wake Up t0: [00:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: O2 Delivery Device t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd
id: Po Intake t0: [00:00:00 11/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 120 vu: ml id: Urine Out Foley t0: [00:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 45 vu: ml
id: Education Topic #1 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Activity st: NotStopd id: Inc Closure/Appear#3 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Drainage/Amt #2 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Drainage/Amt #3 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Packing v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #1 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Incision/Wound #2 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: PressSoreTreatment#1 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Other/Remarks st: NotStopd id: Pressure Sore Odor#1 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: Restraint Location t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Side Rails t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: Behavior t0: [00:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm st: NotStopd
id: Service Type t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 116 n1: 116 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 73.3333 n1: 73.3333 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [01:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [01:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 40 vu: ml
id: Service Type t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Service Type t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Code Status t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Risk for Falls t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Health Care Proxy t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Heart Rhythm t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 106 n1: 106 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 63 n1: 63 u1: mmHg st: NotStopd id: NBP Mean t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 63.3333 n1: 63.3333 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Precautions t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: calprevflg t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:10:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Pain Assess Method t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Pain Type t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Aching st: NotStopd
id: HOB t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: Activity t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: O2 Delivery Device t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Care t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Assistance Device t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: Therapeutic Bed t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd
id: Po Intake t0: [02:00:00 11/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 200 vu: ml id: Urine Out Foley t0: [02:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 60 vu: ml
id: 24h Total In t0: [23:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU cv: 1400 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU cv: 1150 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU cv: 1042 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU cv: 358 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU cv: 1008 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU cv: 1042 ac: 24 ap: none re: 0
id: WBC (4-11,000) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 9.3 n1: 9.3 rs: Final st: NotStopd id: WBC t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 9.3 n1: 9.3 rs: Final st: NotStopd id: Hematocrit t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 29 n1: 29 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 10 n1: 10 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 224 n1: 224 rs: Final st: NotStopd id: RBC t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 3.26 n1: 3.26 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 9.3 n1: 9.3 rs: Final st: NotStopd
id: Service Type t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 112 n1: 112 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 59.3333 n1: 59.3333 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: PT t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 14.4 n1: 14.4 rs: Final st: NotStopd id: INR t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 29.6 n1: 29.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 14.4 n1: 14.4 rs: Final st: NotStopd id: PTT(22-35) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 29.6 n1: 29.6 rs: Final st: NotStopd
id: BUN t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 53 n1: 53 rs: Final st: NotStopd id: Calcium t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 93 n1: 93 rs: Final st: NotStopd id: Magnesium t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 53 n1: 53 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 93 n1: 93 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:14:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 142 n1: 142 rs: Final st: NotStopd
id: Service Type t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 108 n1: 108 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 66.6667 n1: 66.6667 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [03:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 30 vu: ml id: Urine Out Foley t0: [04:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 30 vu: ml
id: Pain Present t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: GI Prophylaxis t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Diff to Palpate st: NotStopd id: Eye Opening t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: points st: NotStopd id: Abdominal Assessment t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Oriented x 3 st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Weak Palpable st: NotStopd id: RLL Lung Sounds t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Urine Color/Appear t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd
id: Education Topic #1 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Activity st: NotStopd id: Inc Cleansing #1 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Normal Saline st: NotStopd id: Inc Closure/Appear#3 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #2 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Drainage/Amt #3 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Packing v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #1 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Incision/Wound #2 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: Pressure Sore Odor#1 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: Restraint Location t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Side Rails t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: Behavior t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm st: NotStopd
id: HOB t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: IV #1 Insert Date t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Oral Care t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: Assistance Device t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: Therapeutic Bed t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd
id: Service Type t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 104 n1: 104 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [05:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [05:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 25 vu: ml
id: Micro-Neb Treatment t0: [06:00:00 11/12/2014] el: 0 cg: RRT cu: T-SICU v1: atro st: NotStopd
id: Service Type t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 116 n1: 116 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 80.6667 n1: 80.6667 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: calprevflg t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [06:00:00 11/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 120 vu: ml id: Urine Out Foley t0: [06:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 60 vu: ml
id: HOB t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: Activity t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Inc Cleansing #1 t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Normal Saline st: NotStopd id: Inc Drainage/Amt #1 t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yellow v2: Small st: NotStopd id: Inc Dsg/Status #1 t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Packing v2: Changed st: NotStopd id: Incision/Wound #1 t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Oral Care t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Assistance Device t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: Skin Care t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Therapeutic Bed t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Side to Side st: NotStopd id: Back Care t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd
id: Pain Present t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Service Type t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Type t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 103 n1: 103 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 67.6667 n1: 67.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Precautions t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [07:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Restraint Location t0: [09:00:00 11/12/2014] el: 0 cg: -1 cu: T-SICU st: D/C'd
id: Pain Level t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8-Severe st: NotStopd id: Pain Present t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Pain Assess Method t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Service Type t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Alarms t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Medicated st: NotStopd id: Education Handout t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Health Care Proxy t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Education Response t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Activity st: NotStopd id: Education Topic #2 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Heart Rhythm t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Abdominal Assessment t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Inc Closure/Appear#1 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU st: NotStopd id: Inc Closure/Appear#3 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #2 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Serous v2: Scant st: NotStopd id: Inc Drainage/Amt #3 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #1 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Incision/Wound #2 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: LLL Lung Sounds t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 94 n1: 94 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 111 n1: 111 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 66.6667 n1: 66.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 67 n1: 67 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8-Severe st: NotStopd id: Pain Location t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Arm st: NotStopd id: Pain Type t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Aching st: NotStopd id: Precautions t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Precautions t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 8.1 n2: 8.1 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Side Rails t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Guaiac t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Temp. Site t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Sl. Limited st: NotStopd
id: Urine Out Foley t0: [09:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 140 vu: ml
id: Service Type t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Health Care Proxy t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: HOB t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Activity t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: NBP t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 103 n1: 103 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 67.6667 n1: 67.6667 u1: mmHg st: NotStopd id: Position t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: Assistance Device t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PressureReduceDevice t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: BPM st: NotStopd id: Skin Care t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: SpO2 t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Side to Side st: NotStopd id: Back Care t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: calprevflg t0: [10:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [08:00:00 11/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 180 vu: ml id: D5W 100.0ml t0: [10:00:00 11/12/2014] el: 2 ai: 105 cg: RN cu: T-SICU vo: 250 vu: ml id: Urine Out Foley t0: [10:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 42 vu: ml
id: IV Infusion In Total t0: [23:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU cv: 250 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 11/12/2014] el: 2 cg: RN cu: CCU cv: 250 ac: 24 ap: none re: 0
id: Service Type t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Health Care Proxy t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 114 n1: 114 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 74.6667 n1: 74.6667 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Through Dermis st: NotStopd id: PressSore Depth #1 t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 0.5 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Serous v2: Small st: NotStopd id: PressSoreCleansing#1 t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Wound Cleanser st: NotStopd id: Pressure Sore Odor#1 t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [11:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 80 vu: ml
id: PressSoreTreatment#1 t0: [11:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Other/Remarks st: NotStopd
id: Pain Level t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6-Mod to Severe st: NotStopd id: Pain Present t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Pain Assess Method t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Service Type t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Education Handout t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Education Response t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Activity st: NotStopd id: Education Topic #2 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ICU Environment st: NotStopd id: Eye Care t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Abdominal Assessment t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU st: NotStopd id: Inc Closure/Appear#3 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #2 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Serous v2: Scant st: NotStopd id: Inc Drainage/Amt #3 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #1 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Incision/Wound #2 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: LLL Lung Sounds t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Ins/Exp Wheeze st: NotStopd id: Level of Conscious t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dozing Intermit st: NotStopd id: Micro-Neb Treatment t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ipratro st: NotStopd id: Motor Response t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 122 n1: 122 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Care t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: Off st: NotStopd id: Pain Cause t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6-Mod to Severe st: NotStopd id: Pain Location t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Arm st: NotStopd id: Pain Type t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Constant st: NotStopd id: Position t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Assistance Device t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Ins/Exp Wheeze st: NotStopd id: Respiratory Pattern t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: Stool Guaiac t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Temp. Site t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: Back Care t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd
id: Po Intake t0: [12:00:00 11/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 120 vu: ml id: Urine Out Foley t0: [12:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 40 vu: ml
id: Pain Level t0: [12:45:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8-Severe st: NotStopd id: Pain Level (Rest) t0: [12:45:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8-Severe st: NotStopd id: Pain Management t0: [12:45:00 11/12/2014] el: 1 cg: RN cu: T-SICU v1: IV Push st: NotStopd
pi: 4104498 hi: 10689 t0: [10:00:00 11/12/2014] tf: [12:00:00 14/12/2014] mn: Allopurinol pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4104499 hi: 10689 t0: [10:00:00 11/12/2014] tf: [19:00:00 17/12/2014] mn: Colchicine pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Pain Level t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6-Mod to Severe st: NotStopd id: Pain Assess Method t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Service Type t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Health Care Proxy t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 110 n1: 110 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Pain Level (Rest) t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6-Mod to Severe st: NotStopd id: Precautions t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [13:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 35 vu: ml
id: Hematocrit t0: [14:41:00 11/12/2014] el: 0 cg: 140 cu: T-SICU v1: 29 n1: 29 u1: % rs: Final st: NotStopd
id: Service Type t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Service Type t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Alarms t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Health Care Proxy t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Health Care Proxy t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: HOB t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Heart Rhythm t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Activity t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Inc Cleansing #2 t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Normal Saline st: NotStopd id: Inc Closure/Appear#2 t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Open v2: Erythema st: NotStopd id: Inc Drainage/Amt #2 t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #2 t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Foot, Left st: NotStopd id: NBP t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 117 n1: 117 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 78.3333 n1: 78.3333 u1: mmHg st: NotStopd id: Position t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: Assistance Device t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Precautions t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PressureReduceDevice t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Side to Side st: NotStopd id: Back Care t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: calprevflg t0: [14:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [15:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 85 vu: ml
id: Pain Level t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 3-Mild to Mod st: NotStopd id: Pain Level/Response t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2-Mild st: NotStopd id: Pain Present t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Pain Assess Method t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Service Type t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Education Topic #1 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Family Called st: NotStopd id: GCS Total t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Abdominal Assessment t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Inc Closure/Appear#2 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU st: NotStopd id: Inc Closure/Appear#3 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #2 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Drainage/Amt #3 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #1 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Incision/Wound #2 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: LLL Lung Sounds t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 117 n1: 117 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 73 n1: 73 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Activity st: NotStopd id: Pain Level (Rest) t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 3-Mild to Mod st: NotStopd id: Pain Location t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Arm st: NotStopd id: Pain Management t0: [16:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU v1: Repositioned st: NotStopd id: Pain Type t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Aching st: NotStopd id: Precautions t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PressSoreWoundBase#1 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Guaiac t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Not Applicable st: NotStopd id: Support Systems t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Relative st: NotStopd id: Temp. Site t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [16:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd
id: Po Intake t0: [16:00:00 11/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 180 vu: ml id: Urine Out Foley t0: [16:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 70 vu: ml
id: Service Type t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Health Care Proxy t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 131 n1: 131 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 76.3333 n1: 76.3333 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [17:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 70 vu: ml
id: Service Type t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Health Care Proxy t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: HOB t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Activity t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: NBP t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 131 n1: 131 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 76.3333 n1: 76.3333 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Assistance Device t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: PressSore Drng/Amt#1 t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Serous v2: Scant st: NotStopd id: PressSoreWoundBase#1 t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU st: NotStopd id: Pressure Sore Site#1 t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 16 n1: 16 u1: BPM st: NotStopd id: Skin Care t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: SpO2 t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Side to Side st: NotStopd id: Back Care t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [18:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 30 vu: ml
id: Po Intake t0: [18:00:00 11/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 80 vu: ml
id: O2 Delivery Device t0: [18:00:00 11/12/2014] el: 0 cg: RT cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 11/12/2014] el: 0 cg: RT cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd
id: Pain Level t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6-Mod to Severe st: NotStopd id: Pain Present t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Pain Assess Method t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Service Type t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [21:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: IV #1 Reason DC'D t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Other/Remarks st: NotStopd id: Risk for Falls t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: NPO st: NotStopd id: Ectopy Frequency t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Health Care Proxy t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Education Topic #1 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 45 degrees st: NotStopd id: Heart Rate t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Heart Rhythm t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Abdominal Assessment t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft st: NotStopd id: IV #1 D/C Date t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 5 n2: 5 st: NotStopd id: IV #4 Insert Date t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 5 n2: 5 st: NotStopd id: IV #4 Site/Size t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: IV Site Appear #4 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Activity Tolerance t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#3 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #3 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #1 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Incision/Wound #2 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: LLL Lung Sounds t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 108 n1: 108 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 116 n1: 116 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 64 n1: 64 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 72.6667 n1: 72.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Cause t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 6-Mod to Severe st: NotStopd id: Pain Location t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Leg st: NotStopd id: Pain Management t0: [21:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU v1: IV Push v2: PO Med st: NotStopd id: Pain Type t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Throbbing st: NotStopd id: Position t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: Assistance Device t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: SpO2 t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Relative st: NotStopd id: Temp. Site t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: Back Care t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd
id: Po Intake t0: [20:00:00 11/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 120 vu: ml id: Po Intake t0: [21:00:00 11/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 30 vu: ml id: Urine Out Foley t0: [20:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 80 vu: ml id: Urine Out Foley t0: [21:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 40 vu: ml
id: 24h Total In t0: [23:00:00 11/12/2014] el: 2 cg: RN cu: CCU cv: 1400 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 11/12/2014] el: 2 cg: RN cu: CCU cv: 1150 ac: 24 ap: none re: 0
id: Code Status t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 106 n1: 106 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 67.3333 n1: 67.3333 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Respiratory Rate t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [22:00:00 11/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [22:00:00 11/12/2014] el: 1 cg: RN cu: T-SICU vo: 40 vu: ml
id: Total Hourly Output t0: [23:00:00 11/12/2014] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 11/12/2014] el: 2 cg: RN cu: CCU cv: 1042 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 11/12/2014] el: 2 cg: RN cu: CCU cv: 358 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 11/12/2014] el: 2 cg: RN cu: CCU cv: 1008 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 11/12/2014] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 11/12/2014] el: 2 cg: RN cu: CCU cv: 1042 ac: 24 ap: none re: 0
id: Service Type t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 111 n1: 111 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 66.3333 n1: 66.3333 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [00:00:00 12/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 120 vu: ml id: Urine Out Foley t0: [00:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU vo: 60 vu: ml
id: Total Hourly Output t0: [23:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU cv: 890 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU cv: 890 ac: 24 ap: none re: 0
id: Riker-SAS Scale t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear Liquid st: NotStopd id: Education Topic #1 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft st: NotStopd id: IV #4 Insert Date t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 5 n2: 5 st: NotStopd id: IV #4 Site/Size t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: IV Site Appear #4 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#3 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #3 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #1 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Incision/Wound #2 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: LLL Lung Sounds t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Assistance Device t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: PressSoreTreatment#1 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: RLL Lung Sounds t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Side Rails t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: Support Systems t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Relative st: NotStopd id: Temp. Site t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 5 Oriented st: NotStopd id: Back Care t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Done st: NotStopd id: Bowel Sounds t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Present st: NotStopd
id: Po Intake t0: [01:00:00 12/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 240 vu: ml
id: 24h Total In t0: [23:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU cv: 2630 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU cv: 2380 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU cv: 1740 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU cv: 2748 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU cv: 0 ac: 1 ap: none re: 0
id: WBC (4-11,000) t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 7.6 n1: 7.6 rs: Final st: NotStopd id: WBC t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 7.6 n1: 7.6 rs: Final st: NotStopd id: Hematocrit t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 26.5 n1: 26.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 9.2 n1: 9.2 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 173 n1: 173 rs: Final st: NotStopd id: RBC t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 2.99 n1: 2.99 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 7.6 n1: 7.6 rs: Final st: NotStopd
id: BUN t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 46 n1: 46 rs: Final st: NotStopd id: Calcium t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 84 n1: 84 rs: Final st: NotStopd id: Magnesium t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 141 n1: 141 rs: Final st: NotStopd id: Total Bili t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: ALT t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 36 n1: 36 rs: Final st: NotStopd id: Amylase t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 138 n1: 138 rs: Final st: NotStopd id: BUN (6-20) t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 46 n1: 46 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 84 n1: 84 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:03:00 12/12/2014] el: 0 cg: 140 cu: T-SICU v1: 141 n1: 141 rs: Final st: NotStopd
id: Service Type t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Alarms t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Health Care Proxy t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Unable st: NotStopd id: Heart Rate t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: Heart Rhythm t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: A Paced st: NotStopd id: NBP t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 108 n1: 108 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 70.6667 n1: 70.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 76.6667 n1: 76.6667 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 90 n1: 90 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: calprevflg t0: [02:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [02:00:00 12/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 120 vu: ml id: Po Intake t0: [03:00:00 12/12/2014] el: 2 ai: 114 cg: RN cu: T-SICU vo: 240 vu: ml id: Urine Out Foley t0: [02:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU vo: 80 vu: ml id: Urine Out Foley t0: [04:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU vo: 100 vu: ml
id: Pain Level t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 3-Mild to Mod st: NotStopd id: Pain Present t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: No st: NotStopd id: Pain Present t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Pain Assess Method t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Yes st: NotStopd id: Daily Wake Up t0: [00:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Diff to Palpate st: NotStopd id: Education Topic #1 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Soft st: NotStopd id: IV #4 Insert Date t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 10 n1: 10 v2: 5 n2: 5 st: NotStopd id: IV #4 Site/Size t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Bedrest st: NotStopd id: IV Site Appear #4 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#3 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #3 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #3 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: None st: NotStopd id: Incision/Wound #1 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Arm, R Upper st: NotStopd id: Incision/Wound #2 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Foot, Left st: NotStopd id: Incision/Wound #3 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Leg, R Upper st: NotStopd id: LLL Lung Sounds t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Cause t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 3-Mild to Mod st: NotStopd id: Pain Location t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Right Arm st: NotStopd id: Pain Management t0: [04:00:00 12/12/2014] el: 1 cg: RN cu: T-SICU v1: PO Med st: NotStopd id: Pain Type t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Dull st: NotStopd id: Position t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Diff to Palpate st: NotStopd id: Assistance Device t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: 2 Person Assist st: NotStopd id: PressSoreTreatment#1 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Dry Sterile Dsg st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Multipodus Boots st: NotStopd id: RLL Lung Sounds t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Regular st: NotStopd id: Side Rails t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Impaired st: NotStopd id: Support Systems t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: Relative st: NotStopd id: Therapeutic Bed t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T-SICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 12/12/2014] el: 0 cg: RN cu: T