This log is also available as text (104cc.txt) and as a (binary) annotation file (104cc.log).
Generated: Thursday, 23-Apr-2009 00:34:44 EDT
(All dates below are surrogates.)
id: Cuff Pressure-Airway t0: [20:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd
id: Service Type t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [06:00:00 17/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: TF Residual t0: [00:00:00 17/03/2015] el: 1 ai: 210 cg: RN cu: CCU vo: 15 vu: ml id: TF Residual t0: [06:00:00 17/03/2015] el: 1 ai: 210 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Free Water Bolus t0: [06:00:00 17/03/2015] el: 1 ai: 274 cg: RN cu: CCU vo: 60 vu: ml id: ProBalance t0: [06:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [06:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 105 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 6 vu: ml
id: Fentanyl t0: [06:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4404444 hi: 17598 t0: [18:00:00 17/03/2015] tf: [15:00:00 18/03/2015] mn: Hydrocortisone Na Succ. pt: Unit Dose st: Discontinued rt: IV fr: Q6H ds: 18, 0, 6, 12 dn: 4 di: Ongoing xv: 36 xu: Hours
id: ETT Mark/Location t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 16.3 n1: 16.3 u1: L/min st: NotStopd id: PEEP Set t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Resp Rate (Total) t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Tank A psi. t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Source/Amt t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Suctioned v2: None st: NotStopd id: Tidal Volume (Spont) t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 682 n1: 682 u1: ml/B st: NotStopd id: Total PEEP Level t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Fingerstick Glucose t0: [08:30:00 17/03/2015] el: 0 cg: CoWker cu: CCU v1: 173 n1: 173 rs: Manual st: NotStopd
id: INV#2Chg o/Wire Date t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: GCS Total t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Total Lift st: NotStopd id: Precautions t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: INV#1 Cap Change t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Therapeutic Bed t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Urine Source t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [08:00:00 17/03/2015] el: 1 ai: 155 cg: RN cu: CCU vo: 45 vu: ml id: Free Water Bolus t0: [08:00:00 17/03/2015] el: 1 ai: 274 cg: RN cu: CCU vo: 100 vu: ml id: ProBalance t0: [08:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 6 vu: ml
id: Fentanyl t0: [08:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 17/03/2015] el: 2 cg: RN cu: CCU cv: 585 ac: 24 ap: none re: 0
id: Urine Out Foley t0: [08:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Fentanyl t0: [08:05:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:05:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Temp. Site t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd
id: D5W 100.0ml t0: [08:00:00 17/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [09:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 0.833333 vu: ml id: Urine Out Foley t0: [09:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 0.25 vu: ml
id: IV Infusion In Total t0: [23:00:00 17/03/2015] el: 2 cg: RN cu: CCU cv: 883.083 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 17/03/2015] el: 2 cg: RN cu: CCU cv: 2188.08 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 17/03/2015] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 17/03/2015] el: 2 cg: RN cu: CCU cv: 720 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 17/03/2015] el: 2 cg: RN cu: CCU cv: 1280 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 17/03/2015] el: 2 cg: RN cu: CCU cv: 908.083 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 17/03/2015] el: 2 cg: RN cu: CCU cv: 14529.1 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 17/03/2015] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 17/03/2015] el: 2 cg: RN cu: CCU cv: 1280 ac: 24 ap: none re: 0
id: Art.pH t0: [09:37:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: Arterial Base Excess t0: [09:37:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: -9 n1: -9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [09:37:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: 13 n1: 13 rs: Final st: NotStopd id: Arterial PaCO2 t0: [09:37:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [09:37:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: 170 n1: 170 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [09:37:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.39 n1: 7.39 rs: Final st: NotStopd
id: ETT Mark/Location t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 16.3 n1: 16.3 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Resp Rate (Total) t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Source/Amt t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Suctioned v2: None st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 721 n1: 721 u1: ml/B st: NotStopd id: Total PEEP Level t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 17/03/2015] el: 0 cg: CoWker cu: CCU v1: 179 n1: 179 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Range of Motion t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [10:00:00 17/03/2015] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Barrier t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Education Handout t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Health Care Proxy t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GI#1 Tube Stat/Drain t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#2 Site Date t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Abdominal Assessment t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Open v2: Other/Remarks st: NotStopd id: Inc Dsg/Status #1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Changed st: NotStopd id: Incision/Wound #1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Nursing Consultation t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Enterostomal RN st: NotStopd id: Oral Care t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Cause t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Situational st: NotStopd id: Arterial BP Mean t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Total Lift st: NotStopd id: Precautions t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: To Bone st: NotStopd id: PressSore Depth #1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sanguinous v2: Copious st: NotStopd id: PressSore Wth/Lth #1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: PressSoreCleansing#1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: PressSoreWoundBase#1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Pressure Sore Odor#1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: Pressure Sore Site#1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Radiologic Study t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Chest Xray st: NotStopd id: Reason For Restraint t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Color/Consist t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Therapeutic Bed t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Behavior t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Cooperative st: NotStopd id: Pt./Family Informed t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Consist. Moist st: NotStopd id: Braden Nutrition t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [10:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 0 vu: ml id: ProBalance t0: [11:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 0 vu: ml id: ProBalance t0: [12:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [10:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 0 vu: ml
id: Fentanyl t0: [09:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: calprevflg t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [12:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 170 vu: ml
id: Fentanyl t0: [12:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: LUL Lung Sounds t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Source t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [12:00:00 17/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [13:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [13:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 0 vu: ml
id: Fentanyl t0: [13:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PNC's st: NotStopd id: Health Care Proxy t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: % st: NotStopd id: calprevflg t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [13:30:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:30:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [13:46:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Arterial Base Excess t0: [13:46:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: -13 n1: -13 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [13:46:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: 9 n1: 9 rs: Final st: NotStopd id: Arterial PaCO2 t0: [13:46:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [13:46:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: 60 n1: 60 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [13:46:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.36 n1: 7.36 rs: Final st: NotStopd
id: ETT Mark/Location t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: Airway Size t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Minute Volume(Obser) t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 17.7 n1: 17.7 u1: L/min st: NotStopd id: PEEP Set t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Set) t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Type t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: calprevflg t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [14:00:00 17/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [14:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [14:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 0 vu: ml
id: Fentanyl t0: [14:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Trendelenberg st: NotStopd id: Heart Rate t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Activity t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Total Lift st: NotStopd id: Precautions t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Bronchoscopy st: NotStopd id: Respiratory Rate t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Suctioned v2: Copious st: NotStopd id: Therapeutic Bed t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: calprevflg t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [15:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [15:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Procedures t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Line Placement st: NotStopd
id: Inc Cleansing #2 t0: [16:00:00 17/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: Inc Closure/Appear#2 t0: [16:00:00 17/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: Inc Drainage/Amt #2 t0: [16:00:00 17/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: Inc Dsg/Status #2 t0: [16:00:00 17/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: Inc/Wound Packing #2 t0: [16:00:00 17/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: Incision/Wound #2 t0: [16:00:00 17/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd
id: Compliance (40-60ml) t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 83.3333 n1: 83.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 15.2 n1: 15.2 u1: L/min st: NotStopd id: PEEP Set t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 561 n1: 561 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Service Type t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Barrier t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v2: Intact st: NotStopd id: Incision/Wound #1 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: LUL Lung Sounds t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: Level of Conscious t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Total Lift st: NotStopd id: Precautions t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: To Bone st: NotStopd id: PressSore Depth #1 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Small st: NotStopd id: PressSore Wth/Lth #1 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Other/Remarks st: NotStopd id: PressSoreCleansing#1 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: PressSoreWoundBase#1 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Pressure Sore Odor#1 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Consist. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: TF Residual t0: [16:00:00 17/03/2015] el: 1 ai: 210 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [16:00:00 17/03/2015] el: 1 ai: 155 cg: RN cu: CCU vo: 30 vu: ml id: Free Water Bolus t0: [16:00:00 17/03/2015] el: 1 ai: 274 cg: RN cu: CCU vo: 100 vu: ml id: ProBalance t0: [16:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 0 vu: ml id: ProBalance t0: [17:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [16:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [16:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [17:00:00 17/03/2015] el: 0 cg: CoWker cu: CCU v1: 150 n1: 150 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Heart Rate t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [17:00:00 17/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [18:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [17:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [18:20:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: Airway Size t0: [18:20:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [18:20:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [18:20:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Tank A psi. t0: [18:20:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [18:20:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Ventilator Type t0: [18:20:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
ci: 36950 t0: [14:48:00 16/03/2015] cu: CCU de: CSRU dt: 5980
id: INV#2Chg o/Wire Date t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Service Type t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3InsertDate t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Arterial BP t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: INV#1 Cap Change t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: calprevflg t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance t0: [19:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [19:00:00 17/03/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [19:00:00 17/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 17/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4407561 hi: 17598 t0: [21:00:00 17/03/2015] tf: [20:00:00 18/03/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Less Restrict Meas. t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#2 Site Date t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Bleeding st: NotStopd id: Abdominal Assessment t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Serous v2: Small st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: Incision/Wound #1 t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Motor Response t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 17/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: ProBalance t0: [20:00:00 17/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 17/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 17/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [20:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: D5W 100.0ml t0: [20:00:00 17/03/2015] el: 1 ai: 105 cg: Rn cu: CSRU vo: 100 vu: ml
id: Compliance (40-60ml) t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 55.5556 n1: 55.5556 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 10.9 n1: 10.9 u1: L/min st: NotStopd id: PEEP Set t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 2040 n1: 2040 st: NotStopd id: Tank B psi. t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 2020 n1: 2020 st: NotStopd id: Ve High t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 526 n1: 526 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Readmit <48 hrs t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 88 n1: 88 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Significant Events t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [21:00:00 17/03/2015] el: 1 ai: 105 cg: Rn cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 17/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: ProBalance t0: [21:00:00 17/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 17/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 9.79167 vu: ml id: Urine Out Foley t0: [21:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 55 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 17/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 2.08333 vu: ml
id: Fentanyl t0: [20:45:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:50:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:55:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:45:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [20:50:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [20:55:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: INV Line#1 Type/Site t0: [22:00:00 17/03/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1 Zero/Cal t0: [22:00:00 17/03/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1InsertDate t0: [22:00:00 17/03/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1SiteAppear t0: [22:00:00 17/03/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 WaveformAppear t0: [22:00:00 17/03/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 Dsg Change t0: [22:00:00 17/03/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 Cap Change t0: [22:00:00 17/03/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 Tubing Change t0: [22:00:00 17/03/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: WBC (4-11,000) t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 25.6 n1: 25.6 rs: Final st: NotStopd id: WBC t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 25.6 n1: 25.6 rs: Final st: NotStopd id: Hematocrit t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 27.7 n1: 27.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 9 n1: 9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd id: RBC t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.92 n1: 2.92 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 25.6 n1: 25.6 rs: Final st: NotStopd
id: Service Type t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Heart Rate t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Oral Care t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Skin Care t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Airbed/Kinair st: NotStopd id: Back Care t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 17/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: ProBalance t0: [22:00:00 17/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 17/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 17/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [21:45:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:45:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: NBP t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: NBP Mean t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [21:30:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:30:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: INV Line#1 D/C Date t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd
id: Calcium t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Magnesium t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd
id: Service Type t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 17/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [22:00:00 17/03/2015] el: 1 ai: 155 cg: Rn cu: CSRU vo: 60 vu: ml id: Free Water Bolus t0: [22:00:00 17/03/2015] el: 1 ai: 168 cg: Rn cu: CSRU vo: 100 vu: ml id: ProBalance t0: [23:00:00 17/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 17/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 17/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [23:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 17/03/2015] el: 3 cg: Rn cu: CSRU pv: 23 cv: 1595.96 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 17/03/2015] el: 3 cg: Rn cu: CSRU pv: 83 cv: 3360.96 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 17/03/2015] el: 3 cg: Rn cu: CSRU cv: 745 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 17/03/2015] el: 3 cg: Rn cu: CSRU pv: 60 cv: 1020 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 38.4615 n1: 38.4615 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 10.5 n1: 10.5 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Source/Amt t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: None st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 696 n1: 696 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Total Hourly Output t0: [23:00:00 17/03/2015] el: 3 cg: RRT cu: CSRU pv: 60 cv: 60 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 17/03/2015] el: 3 cg: RRT cu: CSRU pv: 60 cv: 1655 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 17/03/2015] el: 3 cg: RRT cu: CSRU pv: 23 cv: 1705.96 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 17/03/2015] el: 3 cg: RRT cu: CSRU pv: 23 cv: 15327 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 17/03/2015] el: 3 cg: RRT cu: CSRU pv: 23 cv: 23 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 17/03/2015] el: 3 cg: RRT cu: CSRU pv: 60 cv: 1655 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Open v2: Necrotic st: NotStopd id: Inc Drainage/Amt #1 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Serous v2: Small st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Wet to Dry v2: Changed st: NotStopd id: Incision/Wound #1 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #1 t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Arouse to Pain st: NotStopd id: Level of Conscious t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Red, Unbroken v2: No st: NotStopd id: PressSore Drng/Amt#1 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: PressSoreTreatment#1 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: PressSoreWoundBase#1 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Red st: NotStopd id: Pressure Sore Odor#1 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Impaired st: NotStopd id: Sputum Color/Consist t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 134 n1: 134 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 18/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: ProBalance t0: [00:00:00 18/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 18/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [23:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 18/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [00:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [01:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [01:00:00 18/03/2015] el: 1 ai: 105 cg: Rn cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 18/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 18/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: ProBalance t0: [01:00:00 18/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: ProBalance t0: [02:00:00 18/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 18/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 18/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [01:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [02:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 18/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 18/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [02:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Free Water Bolus t0: [02:00:00 18/03/2015] el: 1 ai: 168 cg: Rn cu: CSRU vo: 100 vu: ml
id: Compliance (40-60ml) t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 31.25 n1: 31.25 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 24.6046 n1: 24.6046 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 10.7 n1: 10.7 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: RSBI (<200) t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 24.6046 n1: 24.6046 u1: units st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.569 n1: 0.569 u1: L st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 615 n1: 615 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: CVP t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 20 n1: 20 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #1 t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Position t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Pressure Sore Site#1 t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Back Care t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 18/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 18/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: ProBalance t0: [03:00:00 18/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: ProBalance t0: [04:00:00 18/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 18/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 18/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [03:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [04:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 55 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 18/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 18/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [03:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 24.4 n1: 24.4 rs: Final st: NotStopd id: WBC t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 24.4 n1: 24.4 rs: Final st: NotStopd id: Hematocrit t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 27.5 n1: 27.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 9.2 n1: 9.2 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd id: RBC t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.98 n1: 2.98 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 24.4 n1: 24.4 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 21 n1: 21 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 18/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: ProBalance t0: [05:00:00 18/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 18/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [05:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 18/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [05:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: BUN t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 73 n1: 73 rs: Final st: NotStopd id: Calcium t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Creatinine t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Potassium t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 73 n1: 73 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 16 n1: 16 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
id: Phosphorous t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 u1: mEq/L rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 u1: mEq/L rs: Final st: NotStopd
id: Service Type t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 18/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: ProBalance t0: [06:00:00 18/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 18/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [06:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 18/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [06:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 144 n1: 144 rs: Manual st: NotStopd
id: Service Type t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 22 n1: 22 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 18/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: ProBalance t0: [07:00:00 18/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 18/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 7.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 18/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [07:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 18/03/2015] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: Heart Rate t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Inc Closure/Appear#1 t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Open v2: Granulating st: NotStopd id: Inc Drainage/Amt #1 t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Purulent v2: Small st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry v2: Changed st: NotStopd id: Incision/Wound #1 t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Precautions t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [07:00:00 18/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [08:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 18/03/2015] el: 1 ai: 223 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [08:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ProBalance t0: [08:00:00 18/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml st: Stopped
id: Eye Care t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: TF Residual t0: [08:00:00 18/03/2015] el: 1 ai: 210 cg: RN cu: CSRU vo: 180 vu: ml
id: Sputum Color/Consist t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: ETT Mark/Location t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Airway Size t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Minute Volume(Obser) t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 n1: 7.5 u1: L/min st: NotStopd id: PEEP Set t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Pressure Support st: NotStopd id: Ventilator Type t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Assistance Device t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Skin Care t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:00:00 18/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [08:00:00 18/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [09:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 18/03/2015] el: 1 ai: 223 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [09:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [10:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 18/03/2015] el: 1 ai: 223 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [10:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: D5W 100.0ml t0: [10:00:00 18/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
pi: 4409482 hi: 17598 t0: [12:00:00 18/03/2015] tf: [11:00:00 19/03/2015] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4409485 hi: 17598 t0: [14:00:00 18/03/2015] tf: [12:00:00 19/03/2015] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4409486 hi: 17598 t0: [12:00:00 18/03/2015] tf: [03:00:00 25/03/2015] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: 2X dn: 0 di: Ongoing xv: 36 xu: Hours
id: Venous CO2(Calc) t0: [11:21:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 16 n1: 16 rs: Final st: NotStopd id: Venous PvCO2 t0: [11:21:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Venous PvO2 t0: [11:21:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Venous pH t0: [11:21:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.27 n1: 7.27 u1: pH rs: Final st: NotStopd
id: ETT Mark/Location t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Airway Size t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Minute Volume(Obser) t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 9.3 n1: 9.3 u1: L/min st: NotStopd id: PEEP Set t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Ve High t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 630 n1: 630 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Pressure Support st: NotStopd id: Ventilator Type t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 191 n1: 191 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [11:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 18/03/2015] el: 1 ai: 223 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [11:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 18/03/2015] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Doppler st: NotStopd id: Ectopy Frequency t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Inc Closure/Appear#1 t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Open v2: Granulating st: NotStopd id: Inc Drainage/Amt #1 t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Purulent v2: Moderate st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Significant Events t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU st: NotStopd id: Skin Care t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance t0: [11:00:00 18/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml st: Restart id: ProBalance t0: [12:00:00 18/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [12:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 18/03/2015] el: 1 ai: 223 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [12:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: GI#2 Tube PlaceCheck t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd
id: Service Type t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [12:15:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:15:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance t0: [13:00:00 18/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [13:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 18/03/2015] el: 1 ai: 223 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [13:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4409893 hi: 17598 t0: [14:00:00 18/03/2015] tf: [18:00:00 19/03/2015] mn: Tobramycin pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 14 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [13:45:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:45:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped
id: Less Restrict Meas. t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Urine Out Foley t0: [14:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Fentanyl t0: [14:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [12:00:00 18/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [13:00:00 18/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [14:00:00 18/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance t0: [14:00:00 18/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml
id: MDI #1 (Puff/Drug) t0: [14:30:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Sputum Color/Consist t0: [14:30:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [14:30:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd
pi: 4410521 hi: 17598 t0: [10:00:00 18/03/2015] tf: [09:00:00 20/03/2015] mn: PredniSONE pt: Unit Dose st: Expired rt: PO fr: DAILY ds: 10 dn: 1 dt: 2 di: Days xv: 36 xu: Hours pi: 4410522 hi: 17598 t0: [10:00:00 21/03/2015] tf: [09:00:00 23/03/2015] mn: PredniSONE pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 dt: 2 di: Days xv: 36 xu: Hours pi: 4410523 hi: 17598 t0: [10:00:00 23/03/2015] tf: [09:00:00 25/03/2015] mn: PredniSONE pt: Unit Dose st: Expired rt: PO fr: DAILY ds: 10 dn: 1 dt: 2 di: Doses xv: 36 xu: Hours pi: 4410524 hi: 17598 t0: [10:00:00 25/03/2015] tf: [09:00:00 26/03/2015] mn: PredniSONE pt: Unit Dose st: Expired rt: PO fr: DAILY ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [15:00:00 18/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [14:00:00 18/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [15:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [15:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 18/03/2015] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Doppler st: NotStopd id: Ectopy Frequency t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#2 Intub Site t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #2/Site t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped v2: Undigested Food st: NotStopd id: GI#2 Tube PlaceCheck t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Activity Tolerance t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Through Fascia v2: Yes st: NotStopd id: PressSore Drng/Amt#1 t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Serosanguinous v2: Moderate st: NotStopd id: PressSoreCleansing#1 t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Wound Cleanser st: NotStopd id: PressSoreTreatment#1 t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: PressSoreTreatment#1 t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: PressSoreWoundBase#1 t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Pressure Sore Odor#1 t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Pressure Sore Site#1 t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Significant Events t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU st: NotStopd id: Skin Care t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Cooperative st: NotStopd id: Pt./Family Informed t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance t0: [15:00:00 18/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [16:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Fentanyl t0: [16:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [16:00:00 18/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
id: ETT Mark/Location t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Airway Size t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Minute Volume(Obser) t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: L/min st: NotStopd id: PEEP Set t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 680 n1: 680 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Sputum Color/Consist t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [17:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Fentanyl t0: [17:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 18/03/2015] el: 1 ai: 223 cg: RN cu: CSRU vo: 1.5 vu: ml st: Stopped id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 18/03/2015] el: 1 ai: 223 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 18/03/2015] el: 1 ai: 223 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 18/03/2015] el: 1 ai: 223 cg: RN cu: CSRU vu: ml
id: Fentanyl t0: [18:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Position Change t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Urine Out Foley t0: [18:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Therapeutic Bed t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [19:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Fentanyl t0: [19:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Potassium t0: [17:58:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [17:58:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd
id: ETT Mark/Location t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 st: NotStopd id: Pressure Support t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 640 n1: 640 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 18/03/2015] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Doppler st: NotStopd id: Ectopy Frequency t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#2 Intub Site t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #2/Site t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GI#2 Tube Stat/Drain t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: Heart Rate t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [20:00:00 18/03/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 60 vu: ml id: Free Water Bolus t0: [20:00:00 18/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [20:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [20:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Oral Care t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: INV Line#2 Zero/Cal t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Service Type t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Turn t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [21:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Fentanyl t0: [21:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [22:00:00 18/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [22:00:00 18/03/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [22:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Fentanyl t0: [22:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 18/03/2015] el: 3 cg: RN cu: CSRU cv: 500 ac: 24 ap: none re: 0
id: ProBalance t0: [22:00:00 18/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vu: ml st: Restart
id: Service Type t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: calprevflg t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance t0: [23:00:00 18/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [23:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 18/03/2015] el: 3 cg: RN cu: CSRU pv: 15 cv: 1540 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 18/03/2015] el: 3 cg: RN cu: CSRU pv: 75 cv: 2940 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 18/03/2015] el: 3 cg: RN cu: CSRU pv: 60 cv: 900 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Doppler st: NotStopd id: Ectopy Frequency t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#2 Intub Site t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #2/Site t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #1 t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd id: Turn t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pt./Family Informed t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [00:00:00 19/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance t0: [00:00:00 19/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [00:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [23:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Fentanyl t0: [00:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 18/03/2015] el: 3 cg: RN cu: CSRU pv: 80 cv: 80 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 18/03/2015] el: 3 cg: RN cu: CSRU pv: 80 cv: 1220 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 18/03/2015] el: 3 cg: RN cu: CSRU pv: -5 cv: 1720 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 18/03/2015] el: 3 cg: RN cu: CSRU pv: -5 cv: 17047 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 18/03/2015] el: 3 cg: RN cu: CSRU pv: -5 cv: -5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 18/03/2015] el: 3 cg: RN cu: CSRU pv: 80 cv: 1220 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 11.2 n1: 11.2 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 st: NotStopd id: Pressure Support t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 601 n1: 601 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd
id: MDI #2 (Puff/Drug) t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd
id: Service Type t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance t0: [01:00:00 19/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [01:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Fentanyl t0: [01:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [02:00:00 19/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: ProBalance t0: [02:00:00 19/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [02:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: HOB t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: Service Type t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance t0: [03:00:00 19/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [02:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [03:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [03:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [03:19:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:19:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: -8 n1: -8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:19:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 16 n1: 16 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:19:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:19:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 90 n1: 90 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:19:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 29.3 n1: 29.3 rs: Final st: NotStopd id: WBC t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 29.3 n1: 29.3 rs: Final st: NotStopd id: Hematocrit t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 30.2 n1: 30.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 10.1 n1: 10.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 191 n1: 191 rs: Final st: NotStopd id: RBC t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.23 n1: 3.23 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 29.3 n1: 29.3 rs: Final st: NotStopd
id: PT t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 14.3 n1: 14.3 rs: Final st: NotStopd id: INR t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 29.8 n1: 29.8 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 14.3 n1: 14.3 rs: Final st: NotStopd id: PTT(22-35) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 29.8 n1: 29.8 rs: Final st: NotStopd
id: BUN t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 73 n1: 73 rs: Final st: NotStopd id: Calcium t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Creatinine t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Magnesium t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 73 n1: 73 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Runs Vtach st: NotStopd id: Ectopy Type t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance t0: [04:00:00 19/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [04:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Ionized Calcium t0: [03:19:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.24 n1: 1.24 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Circulation/SkinInt t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Doppler st: NotStopd id: Alarms t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#2 Intub Site t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Topic #1 t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #2/Site t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GI#2 Tube Stat/Drain t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GI#2 Tube Stat/Drain t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: INV Line#2 Site Date t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #1 t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: PressSoreTreatment#1 t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Pressure Sore Site#1 t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: RLL Lung Sounds t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pt./Family Informed t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Gastric Meds t0: [04:00:00 19/03/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [04:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: RSBI (<100) t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 54.8523 n1: 54.8523 u1: units st: NotStopd id: ETT Mark/Location t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Airway Size t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 10.6 n1: 10.6 u1: L/min st: NotStopd id: PEEP Set t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: RSBI (<200) t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 54.8523 n1: 54.8523 u1: units st: NotStopd id: Resp Rate (Total) t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.474 n1: 0.474 u1: L st: NotStopd id: Sputum Color/Consist t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 519 n1: 519 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [05:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Fentanyl t0: [05:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Skin Care t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance t0: [05:00:00 19/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Stool Out Stool t0: [06:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vu: ml id: Urine Out Foley t0: [06:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 70 vu: ml
id: Fentanyl t0: [06:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Tube Feeds In Total t0: [23:00:00 19/03/2015] el: 3 cg: RN cu: CSRU cv: 300 ac: 24 ap: none re: 0
id: SpO2 t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd
pi: 4412944 hi: 17598 t0: [07:00:00 19/03/2015] tf: [06:00:00 20/03/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4412945 hi: 17598 t0: [07:00:00 19/03/2015] tf: [06:00:00 20/03/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [06:00:00 19/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [07:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Fentanyl t0: [07:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Incision/Wound #1 t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Position Change t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pressure Sore Site#1 t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Reason For Restraint t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Pt./Family Informed t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 19/03/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#2 Intub Site t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #2/Site t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GI#2 Tube Stat/Drain t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: Heart Rate t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [07:00:00 19/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 19/03/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 20 vu: ml id: Free Water Bolus t0: [08:00:00 19/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [08:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Fentanyl t0: [08:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: FiO2 Set t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 17.8 n1: 17.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Ve High t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 560 n1: 560 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Waveform-Vent t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: D5W 100.0ml t0: [08:00:00 19/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: .9% Normal Saline 1000.0ml t0: [08:30:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:30:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [08:30:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Service Type t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [09:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: Fentanyl t0: [09:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Pt./Family Informed t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [10:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: Fentanyl t0: [10:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: MultiPodus Boot t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: RLE
id: Service Type t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Open v2: Granulating st: NotStopd id: Inc Drainage/Amt #1 t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Purulent v2: Small st: NotStopd id: Inc Dsg/Status #1 t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Changed st: NotStopd id: Incision/Wound #1 t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Cardiac Echo st: NotStopd id: Respiratory Rate t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: MultiPodus Boot t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: LLE
id: .9% Normal Saline 1000.0ml t0: [11:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [11:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 250 vu: ml
id: Fentanyl t0: [11:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 19/03/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Procedures st: NotStopd id: Education Topic #2 t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Heart Rate t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Arterial BP t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: calprevflg t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [12:00:00 19/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [12:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Fentanyl t0: [12:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
pi: 4413793 hi: 17598 t0: [14:00:00 19/03/2015] tf: [01:00:00 06/04/2015] mn: Metoprolol pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: FiO2 Set t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 14.1 n1: 14.1 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Waveform-Vent t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Doppler st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Doppler st: NotStopd id: Ectopy Frequency t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#2 Intub Site t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #2/Site t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GI#2 Tube PlaceCheck t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Skin Care t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Therapeutic Bed t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [13:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Urine Out Foley t0: [13:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Less Restrict Meas. t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [14:00:00 19/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [14:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Fentanyl t0: [14:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [15:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Fentanyl t0: [15:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 19/03/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Doppler st: NotStopd id: Ectopy Frequency t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#2 Intub Site t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #2/Site t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: GU Cath Insert Date t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: Heart Rate t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position Change t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 35.7778 n1: 35.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [15:00:00 19/03/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [16:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 19/03/2015] el: 3 cg: Rn cu: CSRU cv: 540 ac: 24 ap: none re: 0
id: Urine Out Foley t0: [16:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 130 vu: ml
id: Service Type t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rate t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Bronchoscopy st: NotStopd id: Respiratory Rate t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [16:05:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:10:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:15:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: FiO2 Set t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Minute Volume(Obser) t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 12.4 n1: 12.4 u1: L/min st: NotStopd id: PEEP Set t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Tank A psi. t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 560 n1: 560 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Through Fascia v2: Yes st: NotStopd id: PressSore Drng/Amt#1 t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Serosanguinous v2: Moderate st: NotStopd id: PressSoreCleansing#1 t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Wound Cleanser st: NotStopd id: PressSoreTreatment#1 t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: PressSoreWoundBase#1 t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Pressure Sore Odor#1 t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Pressure Sore Site#1 t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Skin Care t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [17:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Fentanyl t0: [17:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Potassium t0: [16:29:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:29:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd
id: ETT Mark/Location t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Minute Volume(Obser) t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 10.2 n1: 10.2 u1: L/min st: NotStopd id: PEEP Set t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Type t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: RSBI (<100) t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 40.3846 n1: 40.3846 u1: units st: NotStopd id: ETT Mark/Location t0: [17:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 21cm v2: Lip st: NotStopd id: Airway Size t0: [17:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [17:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: RSBI (<200) t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 40.3846 n1: 40.3846 u1: units st: NotStopd id: Spon RR (Mech.) t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.52 n1: 0.52 u1: L st: NotStopd id: Ventilator Type t0: [17:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
pi: 4415164 hi: 17598 t0: [19:00:00 19/03/2015] tf: [18:00:00 20/03/2015] mn: Fentanyl Citrate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4415165 hi: 17598 t0: [19:00:00 19/03/2015] tf: [03:00:00 25/03/2015] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: 2X dn: 0 di: Ongoing xv: 36 xu: Hours pi: 4415166 hi: 17598 t0: [19:00:00 19/03/2015] tf: [18:00:00 20/03/2015] mn: Midazolam HCl pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [18:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: Fentanyl t0: [18:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 19/03/2015] el: 3 cg: Rn cu: CSRU pv: 15 cv: 860 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 19/03/2015] el: 3 cg: Rn cu: CSRU pv: 15 cv: 1700 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 19/03/2015] el: 3 cg: Rn cu: CSRU pv: 100 cv: 100 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 19/03/2015] el: 3 cg: Rn cu: CSRU pv: 100 cv: 2505 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 19/03/2015] el: 3 cg: Rn cu: CSRU pv: -85 cv: -805 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 19/03/2015] el: 3 cg: Rn cu: CSRU pv: -85 cv: 16242 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 19/03/2015] el: 3 cg: Rn cu: CSRU pv: -85 cv: -85 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 19/03/2015] el: 3 cg: Rn cu: CSRU pv: 100 cv: 2505 ac: 24 ap: carryForward re: 0
id: HOB t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: MultiPodus Boot t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: RLE id: Fingerstick Glucose t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 rs: Manual st: NotStopd
id: Art.pH t0: [18:55:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Lactic Acid t0: [18:55:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Arterial Base Excess t0: [18:55:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: -4 n1: -4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:55:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:55:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 36 n1: 36 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:55:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:55:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [18:55:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd
id: Service Type t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Yes st: NotStopd id: FiO2 Set t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.35 n1: 0.35 u1: torr st: NotStopd id: FiO2 Set t0: [19:37:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.35 n1: 0.35 u1: torr st: NotStopd id: Heart Rate t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 59 n1: 59 u1: BPM st: NotStopd id: O2 Flow (lpm) t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: lpm st: NotStopd id: Precautions t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: calprevflg t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [19:00:00 19/03/2015] el: 1 cg: RRT cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 19/03/2015] el: 1 cg: Rn cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Education Handout t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #2/Site t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: GU Cath Insert Date t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: Heart Rate t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Significant Events t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Extubated st: NotStopd id: Support Systems t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 35.8333 n1: 35.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 96.5 n1: 96.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 19/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 19/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 19/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 19/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 19/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 19/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [20:00:00 19/03/2015] el: 1 cg: Rn cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [21:00:00 19/03/2015] el: 1 cg: Rn cu: CSRU vo: 80 vu: ml
id: Fentanyl t0: [19:40:00 19/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 19/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: calprevflg t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 19/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 19/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [22:00:00 19/03/2015] el: 1 cg: Rn cu: CSRU vo: 100 vu: ml
io: TF Residual 10.0ml el: 1 cg: Rn cu: CSRU ra: 40 ru: ml/hr
id: Service Type t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: calprevflg t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 19/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [21:00:00 19/03/2015] el: 1 ai: 155 cg: Rn cu: CSRU vo: 60 vu: ml id: Free Water Bolus t0: [21:00:00 19/03/2015] el: 1 ai: 168 cg: Rn cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 19/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [23:00:00 19/03/2015] el: 1 cg: Rn cu: CSRU vo: 100 vu: ml
id: bath t0: [22:00:00 19/03/2015] el: 1 cg: Rn cu: CSRU v1: done id: Diet Type t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: GI#2 Intub Site t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Eye Care t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: GI Intub #2/Site t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GU Cath Insert Date t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: Inc Closure/Appear#1 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Open v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Serous v2: Large st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Oral Care t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: PresSoreStage/Heal#1 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Through Fascia v2: No st: NotStopd id: PressSore Depth #1 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 3 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Serous v2: Small st: NotStopd id: PressSoreCleansing#1 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Wound Cleanser st: NotStopd id: Pressure Sore Odor#1 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Negative st: NotStopd id: Respiratory Pattern t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Skin Care t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Sputum Color/Consist t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Stool Color/Consist t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Brown v2: Formed st: NotStopd id: Stool Guaiac t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Negative st: NotStopd id: Therapeutic Bed t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Source t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Back Care t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd
id: Stool Out Stool t0: [22:00:00 19/03/2015] el: 1 cg: Rn cu: CSRU vu: ml es: Large
id: Stool Out Total t0: [23:00:00 19/03/2015] el: 3 cg: Rn cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: MultiPodus Boot t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: RLE
id: Fingerstick Glucose t0: [00:00:00 20/03/2015] el: 0 cg: CoWker cu: CSRU v1: 78 n1: 78 rs: Manual st: NotStopd
id: Pain Present t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #2/Site t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 degrees st: NotStopd id: Heart Rate t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #1 t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Restraint Location t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Sputum Color/Consist t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Support Systems t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 35.1111 n1: 35.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 95.2 n1: 95.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [00:00:00 20/03/2015] el: 1 ai: 105 cg: Rn cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [22:00:00 19/03/2015] el: 1 ai: 105 cg: Rn cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 20/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: TF Residual 40.0ml t0: [22:00:00 19/03/2015] el: 1 ai: 416 cg: Rn cu: CSRU vu: ml id: Urine Out Foley t0: [00:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU vo: 100 vu: ml
id: Fentanyl t0: [21:00:00 19/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Fentanyl t0: [22:00:00 19/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 19/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
io: TF Residual 40.0ml el: 1 cg: Rn cu: CSRU ra: 10 ru: ml/hr
id: Service Type t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 20/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: TF Residual 40.0ml t0: [00:00:00 20/03/2015] el: 1 ai: 416 cg: Rn cu: CSRU vo: 0 vu: ml nb: 1 id: TF Residual 40.0ml t0: [01:00:00 20/03/2015] el: 1 ai: 416 cg: Rn cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU vo: 100 vu: ml
id: Fentanyl t0: [00:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [01:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [03:00:00 20/03/2015] el: 2 ai: 416 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 20/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 20/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: TF Residual 40.0ml t0: [02:00:00 20/03/2015] el: 1 ai: 416 cg: Rn cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [03:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU vo: 100 vu: ml
id: Service Type t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: calprevflg t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [04:00:00 20/03/2015] el: 2 ai: 416 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 20/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml
id: Service Type t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: calprevflg t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Stool Out Stool t0: [03:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU vu: ml es: Large
id: Stool Out Total t0: [23:00:00 20/03/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
io: ProBalance 40.0str el: 1 cg: Rn cu: CSRU ra: 20 ru: ml/hr
id: Pain Present t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Alarms t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Education Handout t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #2/Site t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#2 Site Date t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Position t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Coccyx st: NotStopd id: RLL Lung Sounds t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Stool Color/Consist t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Brown v2: Soft st: NotStopd id: Support Systems t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 35.2778 n1: 35.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 95.5 n1: 95.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Behavior t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd
id: Urine Out Foley t0: [04:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU vo: 80 vu: ml
id: SpO2 t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd
id: WBC (4-11,000) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: WBC t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Hematocrit t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 33.1 n1: 33.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 11.1 n1: 11.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 206 n1: 206 rs: Final st: NotStopd id: RBC t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.59 n1: 3.59 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd
id: Art.pH t0: [04:24:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:24:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: -8 n1: -8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:24:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 13 n1: 13 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:24:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:24:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 87 n1: 87 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:24:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd
id: BUN t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 70 n1: 70 rs: Final st: NotStopd id: Calcium t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Creatinine t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 70 n1: 70 rs: Final st: NotStopd id: Magnesium t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: BUN (6-20) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 70 n1: 70 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride (100-112) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 70 n1: 70 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd
id: PT t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 14.6 n1: 14.6 rs: Final st: NotStopd id: INR t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 30.5 n1: 30.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 14.6 n1: 14.6 rs: Final st: NotStopd id: PTT(22-35) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 30.5 n1: 30.5 rs: Final st: NotStopd
io: TF Residual 160.0ml el: 1 cg: Rn cu: CSRU ra: 40 ru: ml/hr io: TF Residual 60.0ml el: 1 cg: Rn cu: CSRU ra: 40 ru: ml/hr
id: Fingerstick Glucose t0: [06:00:00 20/03/2015] el: 0 cg: CoWker cu: CSRU v1: 76 n1: 76 rs: Manual st: NotStopd
id: Service Type t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Oral Care t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Skin Care t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Back Care t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [05:00:00 20/03/2015] el: 2 ai: 416 cg: Rn cu: CSRU vo: 10 vu: ml id: TF Residual t0: [06:00:00 20/03/2015] el: 2 ai: 416 cg: Rn cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 20/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 20/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [06:00:00 20/03/2015] el: 1 ai: 155 cg: Rn cu: CSRU vo: 20 vu: ml id: Free Water Bolus t0: [06:00:00 20/03/2015] el: 1 ai: 168 cg: Rn cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [05:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU vo: 70 vu: ml id: Urine Out Foley t0: [06:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU vo: 70 vu: ml
id: PO/Gastric In Total t0: [23:00:00 20/03/2015] el: 3 cg: RN cu: CSRU cv: 640 ac: 24 ap: none re: 0
id: TF Residual t0: [06:15:00 20/03/2015] el: 2 ai: 416 cg: Rn cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:15:00 20/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 2.5 vu: ml
id: Service Type t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
io: TF Residual el: 2 cg: RN cu: CSRU ru: ml/hr
id: Pain Present t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 20/03/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU