This log is also available as text (107ac.txt) and as a (binary) annotation file (107ac.log).
Generated: Thursday, 23-Apr-2009 00:34:49 EDT
(All dates below are surrogates.)
pi: 4369556 hi: 27155 t0: [21:00:00 07/01/2016] tf: [20:00:00 08/01/2016] mn: Dolasetron Mesylate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4369649 hi: 27155 t0: [21:00:00 07/01/2016] tf: [17:00:00 22/03/2016] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4369650 hi: 27155 t0: [20:00:00 07/01/2016] tf: [15:00:00 18/03/2016] mn: Miconazole Powder 2% pt: Unit Dose st: Inactive (Due to a change order) rt: TP fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4369651 hi: 27155 t0: [10:00:00 07/01/2016] tf: [09:00:00 09/01/2016] mn: Multivitamins pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4369652 hi: 27155 t0: [20:00:00 07/01/2016] tf: [18:00:00 11/01/2016] mn: Clotrimazole Cream pt: Unit Dose st: Discontinued rt: TP fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4369653 hi: 27155 t0: [22:00:00 07/01/2016] tf: [10:00:00 05/02/2016] mn: Nystatin Oral Suspension pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: QID ds: 10, 14, 18, 22 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4369654 hi: 27155 t0: [21:00:00 07/01/2016] tf: [12:00:00 08/01/2016] mn: Fentanyl Patch pt: Unit Dose st: Inactive (Due to a change order) rt: TP fr: Q72H dn: 0 di: Ongoing xv: 36 xu: Hours pi: 4369655 hi: 27155 t0: [21:00:00 07/01/2016] tf: [11:00:00 09/01/2016] mn: Fluconazole pt: Unit Dose st: Discontinued rt: PO fr: Q24H ds: 21 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4369656 hi: 27155 t0: [21:00:00 07/01/2016] tf: [09:00:00 09/01/2016] mn: Pantoprazole pt: Unit Dose st: Discontinued rt: PO fr: Q24H ds: 21 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4369657 hi: 27155 t0: [21:00:00 07/01/2016] tf: [09:00:00 09/01/2016] mn: Famotidine pt: Unit Dose st: Discontinued rt: PO fr: Q12H ds: 21, 9 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4369668 hi: 27155 t0: [21:00:00 07/01/2016] tf: [23:00:00 21/03/2016] mn: Acetaminophen pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4369669 hi: 27155 t0: [21:00:00 07/01/2016] tf: [23:00:00 21/03/2016] mn: Acetaminophen pt: Unit Dose st: Discontinued rt: PR fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4369670 hi: 27155 t0: [21:00:00 07/01/2016] tf: [16:00:00 13/04/2016] mn: Sodium Chloride Nasal pt: Unit Dose st: Discontinued via patient discharge rt: NU fr: BID:PRN di: Ongoing xv: 36 xu: Hours pi: 4369671 hi: 27155 t0: [21:00:00 07/01/2016] tf: [23:00:00 07/01/2016] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4369672 hi: 27155 t0: [21:00:00 07/01/2016] tf: [12:00:00 08/01/2016] mn: Loperamide HCl pt: Unit Dose st: Discontinued rt: PO fr: QID:PRN di: Ongoing xv: 36 xu: Hours pi: 4369673 hi: 27155 t0: [21:00:00 07/01/2016] tf: [23:00:00 07/01/2016] mn: Lorazepam pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4369676 hi: 27155 t0: [21:00:00 07/01/2016] tf: [16:00:00 20/01/2016] mn: Dexamethasone pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q6H ds: 21, 3, 9, 15 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4369677 hi: 27155 t0: [21:00:00 07/01/2016] tf: [12:00:00 08/01/2016] mn: Metoclopramide pt: Unit Dose st: Discontinued rt: IV fr: Q6H ds: 21, 3, 9, 15 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4369678 hi: 27155 t0: [21:00:00 07/01/2016] tf: [20:00:00 21/02/2016] mn: Albuterol 0.083% Neb Soln pt: Unit Dose st: Discontinued rt: IH fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4369679 hi: 27155 t0: [21:00:00 07/01/2016] tf: [20:00:00 21/02/2016] mn: Ipratropium Bromide Neb pt: Unit Dose st: Discontinued rt: IH fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4369680 hi: 27155 t0: [21:00:00 07/01/2016] tf: [23:00:00 07/01/2016] mn: Lorazepam pt: Unit Dose st: Discontinued rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4369682 hi: 27155 t0: [21:00:00 07/01/2016] tf: [17:00:00 08/01/2016] mn: Phenytoin pt: Unit Dose st: Discontinued rt: PO fr: ASDIR di: Ongoing xv: 36 xu: Hours pi: 4369683 hi: 27155 t0: [22:00:00 07/01/2016] tf: [17:00:00 08/01/2016] mn: Phenytoin pt: Unit Dose st: Discontinued rt: PO fr: QHS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4369684 hi: 27155 t0: [20:00:00 07/01/2016] tf: [08:00:00 13/01/2016] mn: Dolasetron Mesylate pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4369852 hi: 27155 t0: [20:00:00 07/01/2016] tf: [11:00:00 09/01/2016] mn: Fuzeon pt: Unit Dose st: Discontinued rt: SC fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4369853 hi: 27155 t0: [10:00:00 07/01/2016] tf: [11:00:00 09/01/2016] mn: Emtricitabine-Tenofovir pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4369854 hi: 27155 t0: [20:00:00 07/01/2016] tf: [22:00:00 07/01/2016] mn: Tipranavir pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4369855 hi: 27155 t0: [20:00:00 07/01/2016] tf: [11:00:00 09/01/2016] mn: Ritonavir pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4369856 hi: 27155 t0: [20:00:00 07/01/2016] tf: [11:00:00 09/01/2016] mn: Abacavir Sulfate pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4369857 hi: 27155 t0: [20:00:00 07/01/2016] tf: [13:00:00 08/01/2016] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 12H ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4369914 hi: 27155 t0: [23:00:00 07/01/2016] tf: [22:00:00 07/01/2016] mn: Meropenem pt: IV Piggyback st: Discontinued rt: IV fr: Q6H ds: 23, 5, 11, 17 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4369915 hi: 27155 t0: [23:00:00 07/01/2016] tf: [10:00:00 21/03/2016] mn: Meropenem pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q6H ds: 2, 8, 14, 20 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4369969 hi: 27155 t0: [20:00:00 07/01/2016] tf: [11:00:00 09/01/2016] mn: Tipranavir pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4370046 hi: 27155 t0: [08:00:00 08/01/2016] tf: [17:00:00 03/02/2016] mn: Heparin pt: Unit Dose st: Inactive (Due to a change order) rt: SC fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4370098 hi: 27155 t0: [01:00:00 08/01/2016] tf: [16:00:00 20/01/2016] mn: Sulfameth/Trimethoprim pt: IV Piggyback st: Discontinued rt: IV fr: Q6H ds: 2, 8, 14, 20 dn: 4 di: Ongoing xu: Enter on Label
pi: 4370150 hi: 27155 t0: [01:00:00 08/01/2016] tf: [00:00:00 09/01/2016] mn: Benzocaine 20% Spray pt: Unit Dose st: Expired rt: TP fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4370413 hi: 27155 t0: [04:00:00 08/01/2016] tf: [03:00:00 09/01/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 4 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4370414 hi: 27155 t0: [04:00:00 08/01/2016] tf: [03:00:00 09/01/2016] mn: Phytonadione pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 4 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4370944 hi: 27155 t0: [10:00:00 08/01/2016] tf: [19:00:00 28/01/2016] mn: Heparin Flush PICC (100 units/ml) pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
pi: 4371494 hi: 27155 t0: [13:00:00 08/01/2016] tf: [12:00:00 09/01/2016] mn: Magnesium Sulfate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4371495 hi: 27155 t0: [13:00:00 08/01/2016] tf: [01:00:00 22/02/2016] mn: Fentanyl Patch pt: Unit Dose st: Discontinued rt: TP fr: Q72H dn: 0 di: Ongoing xv: 36 xu: Hours pi: 4371502 hi: 27155 t0: [13:00:00 08/01/2016] tf: [02:00:00 09/01/2016] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 150 ml/hr for 2000 ml ir: 150 it: C ss: N dt: 13 di: Hours xu: Enter on Label pi: 4371503 hi: 27155 t0: [13:00:00 08/01/2016] tf: [12:00:00 09/01/2016] mn: Neutra-Phos pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4371696 hi: 27155 t0: [14:00:00 08/01/2016] tf: [16:00:00 20/01/2016] mn: Linezolid pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 10, 22 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4372463 hi: 27155 t0: [18:00:00 08/01/2016] tf: [19:00:00 08/01/2016] mn: Lorazepam pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q6H ds: 18, 0, 6, 12 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4372512 hi: 27155 t0: [20:00:00 08/01/2016] tf: [18:00:00 13/01/2016] mn: Levetiracetam pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4372520 hi: 27155 t0: [10:00:00 08/01/2016] tf: [11:00:00 09/01/2016] mn: Pyrimethamine pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4372521 hi: 27155 t0: [18:00:00 08/01/2016] tf: [11:00:00 09/01/2016] mn: SulfADIAzine pt: Unit Dose st: Discontinued rt: PO fr: Q6H ds: 18, 0, 6, 12 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4372522 hi: 27155 t0: [10:00:00 08/01/2016] tf: [11:00:00 09/01/2016] mn: Leucovorin Calcium pt: Unit Dose st: Discontinued rt: PO fr: 3X/WEEK ds: 10 dn: 0 di: Ongoing xv: 36 xu: Hours
pi: 4372809 hi: 27155 t0: [12:00:00 08/01/2016] tf: [09:00:00 10/01/2016] mn: Lorazepam pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q6H ds: 18, 0, 6, 12 dn: 4 di: Ongoing xv: 36 xu: Hours
pi: 4373611 hi: 27155 t0: [03:00:00 09/01/2016] tf: [09:00:00 09/01/2016] pt: IV Large Volume st: Inactive (Due to a change order) rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 125 ml/hr for 2000 ml ir: 125 it: C ss: N dt: 16 di: Hours xu: Enter on Label
pi: 4373656 hi: 27155 t0: [04:00:00 09/01/2016] tf: [10:00:00 03/03/2016] mn: Lidocaine Viscous 2% pt: Unit Dose st: Discontinued rt: PO fr: TID:PRN dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4374165 hi: 27155 t0: [10:00:00 09/01/2016] tf: [14:00:00 17/01/2016] mn: Pantoprazole pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 10 dn: 1 di: Ongoing xu: Enter on Label pi: 4374166 hi: 27155 t0: [10:00:00 09/01/2016] tf: [09:00:00 10/01/2016] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 125 ml/hr ir: 125 it: C ss: N di: Ongoing xu: Enter on Label
pi: 4374479 hi: 27155 t0: [12:00:00 09/01/2016] tf: [11:00:00 10/01/2016] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4374542 hi: 27155 t0: [12:00:00 09/01/2016] tf: [11:00:00 10/01/2016] mn: Phytonadione pt: Unit Dose st: Expired rt: SC fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4375464 hi: 27155 t0: [21:00:00 09/01/2016] tf: [05:00:00 10/01/2016] mn: traMADOL pt: Unit Dose st: Discontinued rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4375822 hi: 27155 t0: [01:00:00 10/01/2016] tf: [00:00:00 11/01/2016] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4375936 hi: 27155 t0: [04:00:00 10/01/2016] tf: [03:00:00 11/01/2016] mn: Benzocaine 20% Spray pt: Unit Dose st: Expired rt: TP fr: ONCE ds: 4 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4376065 hi: 27155 t0: [06:00:00 10/01/2016] tf: [05:00:00 11/01/2016] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4376364 hi: 27155 t0: [10:00:00 10/01/2016] tf: [09:00:00 11/01/2016] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4376478 hi: 27155 t0: [10:00:00 10/01/2016] tf: [13:00:00 19/01/2016] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml LR Continuous at 60 ml/hr ir: 60 it: C ss: N di: Ongoing xu: Enter on Label pi: 4376479 hi: 27155 t0: [10:00:00 10/01/2016] tf: [10:00:00 11/01/2016] mn: Lorazepam pt: Unit Dose st: Discontinued rt: IV fr: Q8H ds: 10, 18, 2 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4376480 hi: 27155 t0: [22:00:00 10/01/2016] tf: [16:00:00 13/04/2016] mn: Gabapentin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4377149 hi: 27155 t0: [15:00:00 10/01/2016] tf: [14:00:00 11/01/2016] pt: IV Large Volume st: Expired rt: IV fr: ONCE ds: 15 iv: Amino Acid 4.25% with Electrolytes in 5% Dextrose 1000 ml dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4377156 hi: 27155 t0: [15:00:00 10/01/2016] tf: [18:00:00 11/01/2016] mn: Morphine Sulfate pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4378821 hi: 27155 t0: [11:00:00 11/01/2016] tf: [10:00:00 12/01/2016] mn: Potassium Phosphate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xu: Enter on Label
pi: 4379451 hi: 27155 t0: [16:00:00 11/01/2016] tf: [15:00:00 12/01/2016] pt: IV Large Volume st: Expired rt: IV fr: ONCE ds: 16 iv: Amino Acid 4.25% with Electrolytes in 5% Dextrose 1000 ml dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4379452 hi: 27155 t0: [16:00:00 11/01/2016] tf: [13:00:00 28/01/2016] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours
pi: 4379770 hi: 27155 t0: [19:00:00 11/01/2016] tf: [09:00:00 12/01/2016] mn: Morphine Sulfate pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4380013 hi: 27155 t0: [22:00:00 11/01/2016] tf: [21:00:00 12/01/2016] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4380913 hi: 27155 t0: [10:00:00 12/01/2016] tf: [09:00:00 12/01/2016] pt: TPN st: Inactive (Due to a change order) pi: 4380928 hi: 27155 t0: [10:00:00 12/01/2016] pt: TPN st: Expired pi: 4380941 hi: 27155 t0: [10:00:00 12/01/2016] tf: [09:00:00 13/01/2016] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4380942 hi: 27155 t0: [10:00:00 12/01/2016] tf: [09:00:00 13/01/2016] mn: Magnesium Sulfate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4380943 hi: 27155 t0: [10:00:00 12/01/2016] tf: [22:00:00 08/02/2016] mn: Morphine Sulfate pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4381207 hi: 27155 t0: [12:00:00 12/01/2016] tf: [11:00:00 20/01/2016] mn: Acyclovir pt: IV Piggyback st: Discontinued rt: IV fr: Q8H ds: 0, 8, 16 dn: 3 di: Ongoing xv: 30 xu: Hours
pi: 4384853 hi: 27155 t0: [09:00:00 13/01/2016] tf: [16:00:00 13/04/2016] mn: Dolasetron Mesylate pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: Q8H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4384988 hi: 27155 t0: [10:00:00 13/01/2016] tf: [19:00:00 28/01/2016] mn: Heparin Flush PICC (100 units/ml) pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4384989 hi: 27155 t0: [10:00:00 13/01/2016] tf: [16:00:00 17/02/2016] mn: Heparin Flush PICC (100 units/ml) pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
pi: 4385807 hi: 27155 t0: [14:00:00 13/01/2016] pt: TPN st: Expired
pi: 4387026 hi: 27155 t0: [20:00:00 13/01/2016] tf: [19:00:00 15/01/2016] mn: Levetiracetam pt: Unit Dose st: Expired rt: PO fr: BID ds: 08, 20 dn: 2 dt: 2 di: Days xv: 36 xu: Hours
pi: 4387396 hi: 27155 t0: [08:00:00 16/01/2016] tf: [16:00:00 13/04/2016] mn: Levetiracetam pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4389426 hi: 27155 t0: [13:00:00 14/01/2016] pt: TPN st: Expired
pi: 4392712 hi: 27155 t0: [11:00:00 15/01/2016] pt: TPN st: Expired
pi: 4394697 hi: 27155 t0: [19:00:00 15/01/2016] tf: [18:00:00 16/01/2016] mn: Voriconazole pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4394741 hi: 27155 t0: [20:00:00 15/01/2016] tf: [19:00:00 16/01/2016] mn: Voriconazole pt: Unit Dose st: Expired rt: PO fr: Q12H ds: 20, 8 dn: 2 dt: 2 di: Doses xv: 36 xu: Hours pi: 4394742 hi: 27155 t0: [20:00:00 15/01/2016] tf: [19:00:00 15/01/2016] mn: Voriconazole pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q12H ds: 20, 8 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4394744 hi: 27155 t0: [20:00:00 16/01/2016] tf: [14:00:00 10/02/2016] mn: Voriconazole pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q12H ds: 20, 8 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4396956 hi: 27155 t0: [14:00:00 16/01/2016] pt: TPN st: Expired
pi: 4398935 hi: 27155 t0: [11:00:00 17/01/2016] pt: TPN st: Expired
pi: 4399412 hi: 27155 t0: [15:00:00 17/01/2016] tf: [17:00:00 17/02/2016] mn: Pantoprazole pt: Unit Dose st: Discontinued rt: PO fr: Q24H ds: 15 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4401693 hi: 27155 t0: [11:00:00 18/01/2016] pt: TPN st: Expired
pi: 4404970 hi: 27155 t0: [10:00:00 19/01/2016] pt: TPN st: Expired
pi: 4405941 hi: 27155 t0: [14:00:00 19/01/2016] tf: [13:00:00 28/01/2016] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 4405942 hi: 27155 t0: [22:00:00 19/01/2016] tf: [13:00:00 28/01/2016] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4409614 hi: 27155 t0: [12:00:00 20/01/2016] tf: [17:00:00 26/01/2016] mn: Acyclovir pt: Unit Dose st: Discontinued rt: PO fr: Q8H ds: 12, 20, 4 dn: 3 di: Ongoing xv: 36 xu: Hours
pi: 4410772 hi: 27155 t0: [21:00:00 20/01/2016] tf: [16:00:00 21/01/2016] mn: Dexamethasone pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q6H ds: 21, 3, 9, 15 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4410773 hi: 27155 t0: [20:00:00 20/01/2016] tf: [09:00:00 21/01/2016] mn: Sulfameth/Trimethoprim DS pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4413219 hi: 27155 t0: [10:00:00 21/01/2016] tf: [21:00:00 23/01/2016] mn: Linezolid pt: Unit Dose st: Discontinued rt: PO fr: Q12H ds: 10, 22 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4413220 hi: 27155 t0: [14:00:00 21/01/2016] tf: [14:00:00 29/01/2016] mn: Sulfameth/Trimethoprim DS 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: 4414684 hi: 27155 t0: [17:00:00 21/01/2016] tf: [11:00:00 24/01/2016] mn: Azithromycin pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: 1X/WEEK ds: 10 dn: 0 di: Ongoing xv: 36 xu: Hours pi: 4414685 hi: 27155 t0: [21:00:00 21/01/2016] tf: [02:00:00 23/01/2016] mn: Dexamethasone pt: Unit Dose st: Expired rt: IV fr: Q6H ds: 21, 3, 9, 15 dn: 4 dt: 5 di: Doses xv: 36 xu: Hours pi: 4414686 hi: 27155 t0: [10:00:00 23/01/2016] tf: [20:00:00 21/01/2016] mn: PredniSONE pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4415595 hi: 27155 t0: [10:00:00 21/01/2016] tf: [09:00:00 22/01/2016] mn: PredniSONE pt: Unit Dose st: Expired rt: PO fr: DAILY ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4415596 hi: 27155 t0: [10:00:00 24/01/2016] tf: [09:00:00 24/01/2016] mn: PredniSONE pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 dt: 5 di: Days xv: 36 xu: Hours
pi: 4418734 hi: 27155 t0: [18:00:00 22/01/2016] tf: [13:00:00 28/01/2016] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours
pi: 4421259 hi: 27155 t0: [12:00:00 23/01/2016] tf: [11:00:00 24/01/2016] 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: 4421260 hi: 27155 t0: [12:00:00 23/01/2016] tf: [11:00:00 24/01/2016] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xu: Enter on Label
pi: 4423333 hi: 27155 t0: [09:00:00 24/01/2016] tf: [16:00:00 31/01/2016] mn: Linezolid pt: Unit Dose st: Discontinued rt: PO fr: Q12H ds: 9, 21 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4423404 hi: 27155 t0: [10:00:00 24/01/2016] tf: [08:00:00 25/01/2016] mn: Dexamethasone pt: Unit Dose st: Discontinued rt: IV fr: Q6H ds: 10, 16, 22, 4 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4423406 hi: 27155 t0: [10:00:00 24/01/2016] tf: [13:00:00 28/01/2016] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 4423407 hi: 27155 t0: [08:00:00 24/01/2016] tf: [13:00:00 28/01/2016] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: BREAKFAST ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4423540 hi: 27155 t0: [10:00:00 24/01/2016] tf: [18:00:00 24/01/2016] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 120 ml/hr for 1000 ml ir: 120 it: C ss: N dt: 8 di: Hours xu: Enter on Label
pi: 4423602 hi: 27155 t0: [11:00:00 24/01/2016] tf: [17:00:00 22/03/2016] mn: Ibuprofen pt: Unit Dose st: Discontinued rt: PO fr: Q8H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4423762 hi: 27155 t0: [10:00:00 24/01/2016] tf: [19:00:00 20/02/2016] mn: Azithromycin pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: 1X/WEEK ds: 10 di: Ongoing xv: 36 xu: Hours
pi: 4425598 hi: 27155 t0: [10:00:00 25/01/2016] tf: [17:00:00 27/01/2016] mn: PredniSONE pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4427046 hi: 27155 t0: [19:00:00 25/01/2016] tf: [13:00:00 28/01/2016] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours
pi: 4427645 hi: 27155 t0: [02:00:00 26/01/2016] tf: [01:00:00 27/01/2016] mn: Alteplase (Catheter Clearance) pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4430493 hi: 27155 t0: [19:00:00 26/01/2016] tf: [10:00:00 03/02/2016] mn: Ganciclovir pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q24H ds: 20 dn: 1 di: Ongoing xu: Enter on Label
pi: 4433600 hi: 27155 t0: [10:00:00 27/01/2016] tf: [19:00:00 29/01/2016] mn: PredniSONE pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4435929 hi: 27155 t0: [11:00:00 28/01/2016] tf: [10:00:00 29/01/2016] mn: Potassium Phosphate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xu: Enter on Label
pi: 4440598 hi: 27155 t0: [15:00:00 29/01/2016] tf: [20:00:00 03/02/2016] mn: Sulfameth/Trimethoprim DS pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: EVERY OTHER DAY di: Ongoing xv: 36 xu: Hours
pi: 4443017 hi: 27155 t0: [10:00:00 30/01/2016] tf: [09:00:00 31/01/2016] mn: Potassium Phosphate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xu: Enter on Label
pi: 4446587 hi: 27155 t0: [17:00:00 31/01/2016] tf: [10:00:00 21/03/2016] mn: Daptomycin pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q24H ds: 0 dn: 1 di: Ongoing xu: Enter on Label
pi: 4452364 hi: 27155 t0: [10:00:00 02/02/2016] tf: [09:00:00 03/02/2016] mn: Alteplase (Catheter Clearance) pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4456653 hi: 27155 t0: [11:00:00 03/02/2016] tf: [17:00:00 01/03/2016] mn: Ganciclovir pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q12H ds: 6, 18 dn: 2 di: Ongoing xu: Enter on Label
pi: 4458085 hi: 27155 t0: [20:00:00 03/02/2016] tf: [18:00:00 11/02/2016] mn: Heparin pt: Unit Dose st: Discontinued rt: SC fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4458086 hi: 27155 t0: [18:00:00 03/02/2016] tf: [12:00:00 04/02/2016] pt: IV Large Volume st: Inactive (Due to a change order) rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 75 ml/hr ir: 75 it: C ss: N di: Ongoing xu: Enter on Label
pi: 4458724 hi: 27155 t0: [10:00:00 03/02/2016] tf: [22:00:00 21/02/2016] mn: Sulfameth/Trimethoprim DS pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4460391 hi: 27155 t0: [11:00:00 04/02/2016] tf: [10:00:00 05/02/2016] mn: Midazolam HCl pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4460392 hi: 27155 t0: [11:00:00 04/02/2016] tf: [10:00:00 05/02/2016] mn: Fentanyl Citrate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4460840 hi: 27155 t0: [13:00:00 04/02/2016] tf: [23:00:00 04/02/2016] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 100 ml/hr for 1000 ml ir: 100 it: C ss: N dt: 10 di: Hours xu: Enter on Label
pi: 4464064 hi: 27155 t0: [11:00:00 05/02/2016] tf: [10:00:00 06/02/2016] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml LR Bolus 2000 ml Over 120 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4464065 hi: 27155 t0: [11:00:00 05/02/2016] tf: [08:00:00 31/03/2016] mn: Nystatin Oral Suspension pt: Unit Dose st: Discontinued rt: PO fr: QID:PRN di: Ongoing xv: 36 xu: Hours
pi: 4464983 hi: 27155 t0: [15:00:00 05/02/2016] tf: [14:00:00 06/02/2016] mn: Acetaminophen pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4475216 hi: 27155 t0: [22:00:00 08/02/2016] tf: [21:00:00 08/02/2016] pt: IV Large Volume st: Inactive (Due to a change order) rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 50 ml/hr ir: 50 it: C ss: N di: Ongoing xu: Enter on Label pi: 4475291 hi: 27155 t0: [22:00:00 08/02/2016] tf: [22:00:00 08/02/2016] pt: IV Large Volume st: Inactive (Due to a change order) rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 125 ml/hr ir: 125 it: C ss: N di: Ongoing xu: Enter on Label
pi: 4475325 hi: 27155 t0: [23:00:00 08/02/2016] tf: [18:00:00 02/03/2016] mn: Morphine Sulfate pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4475326 hi: 27155 t0: [23:00:00 08/02/2016] tf: [07:00:00 04/03/2016] mn: Morphine Sulfate pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4475327 hi: 27155 t0: [23:00:00 08/02/2016] tf: [23:00:00 13/02/2016] pt: IV Large Volume st: Inactive (Due to a change order) rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 75 ml/hr ir: 75 it: C ss: N di: Ongoing xu: Enter on Label
pi: 4478153 hi: 27155 t0: [18:00:00 09/02/2016] tf: [17:00:00 10/02/2016] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml LR Bolus 1000 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4478168 hi: 27155 t0: [20:00:00 09/02/2016] tf: [19:00:00 10/02/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: BID ds: 08, 20 dn: 2 dt: 2 di: Doses xv: 36 xu: Hours pi: 4478169 hi: 27155 t0: [18:00:00 09/02/2016] tf: [17:00:00 10/02/2016] mn: Magnesium Sulfate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4478170 hi: 27155 t0: [18:00:00 09/02/2016] tf: [17:00:00 10/02/2016] mn: Calcium Gluconate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4478460 hi: 27155 t0: [10:00:00 09/02/2016] tf: [18:00:00 02/03/2016] mn: Levofloxacin pt: IV Piggyback st: Discontinued rt: IV fr: DAILY ds: 20 dn: 1 di: Ongoing xu: Enter on Label pi: 4478461 hi: 27155 t0: [20:00:00 09/02/2016] tf: [16:00:00 13/04/2016] mn: Lopinavir-Ritonavir pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4478462 hi: 27155 t0: [10:00:00 09/02/2016] tf: [16:00:00 13/04/2016] mn: Emtricitabine-Tenofovir pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4481426 hi: 27155 t0: [15:00:00 10/02/2016] tf: [14:00:00 11/02/2016] mn: Magnesium Sulfate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4481427 hi: 27155 t0: [15:00:00 10/02/2016] tf: [14:00:00 11/02/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4481432 hi: 27155 t0: [20:00:00 10/02/2016] tf: [22:00:00 21/02/2016] mn: Voriconazole pt: Unit Dose st: Discontinued rt: PO fr: Q12H ds: 20, 8 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4481433 hi: 27155 t0: [20:00:00 10/02/2016] tf: [22:00:00 21/02/2016] mn: Voriconazole pt: Unit Dose st: Discontinued rt: PO fr: Q12H ds: 20, 8 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4481741 hi: 27155 t0: [16:00:00 10/02/2016] tf: [15:00:00 11/02/2016] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml LR Bolus 1000 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label
pi: 4482441 hi: 27155 t0: [20:00:00 10/02/2016] tf: [19:00:00 11/02/2016] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml LR Bolus 1000 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
pi: 4483955 hi: 27155 t0: [09:00:00 11/02/2016] tf: [16:00:00 17/02/2016] mn: Heparin Flush PICC (100 units/ml) pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
pi: 4484782 hi: 27155 t0: [14:00:00 11/02/2016] tf: [13:00:00 12/02/2016] mn: Phytonadione pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4484825 hi: 27155 t0: [14:00:00 11/02/2016] tf: [16:00:00 16/02/2016] mn: Filgrastim pt: IV Piggyback st: Inactive (Due to a change order) rt: SC fr: Q24H ds: 14 dn: 1 di: Ongoing xu: Enter on Label
pi: 4485089 hi: 27155 t0: [10:00:00 12/02/2016] tf: [12:00:00 12/03/2016] mn: Epoetin Alfa pt: IV Piggyback st: Discontinued rt: SC fr: QMOWEFR ds: 8 di: Ongoing xu: Enter on Label pi: 4485121 hi: 27155 t0: [15:00:00 11/02/2016] tf: [14:00:00 12/02/2016] mn: Alteplase (Catheter Clearance) pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4486056 hi: 27155 t0: [19:00:00 11/02/2016] tf: [18:00:00 12/02/2016] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml LR Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4486057 hi: 27155 t0: [19:00:00 11/02/2016] tf: [18:00:00 12/02/2016] mn: Phytonadione pt: Unit Dose st: Expired rt: SC fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4486816 hi: 27155 t0: [00:00:00 12/02/2016] tf: [23:00:00 12/02/2016] mn: traZODONE HCl pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4487460 hi: 27155 t0: [08:00:00 12/02/2016] tf: [07:00:00 13/02/2016] mn: Phytonadione pt: Unit Dose st: Expired rt: SC fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4487529 hi: 27155 t0: [08:00:00 12/02/2016] tf: [07:00:00 13/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4488631 hi: 27155 t0: [13:00:00 12/02/2016] pt: TPN st: Expired
id: SAPS-I t0: [00:00:00 13/02/2016] el: 0 cg: LCP cu: LCP at MIT n1: 10
pi: 4490709 hi: 27155 t0: [01:00:00 13/02/2016] tf: [09:00:00 13/02/2016] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
io: .9% Normal Saline 1000.0ml el: 1 cg: RN cu: MICU ra: 10 ru: ml/hr io: PPN el: 1 cg: RN cu: MICU ra: 62.5 ru: ml/hr
pi: 4491478 hi: 27155 t0: [09:00:00 13/02/2016] tf: [09:00:00 13/02/2016] mn: Dexamethasone pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4491479 hi: 27155 t0: [09:00:00 13/02/2016] tf: [09:00:00 13/02/2016] mn: Cosyntropin pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: BSA t0: [08:48:00 13/02/2016] el: 1033 cg: 8 cu: MICU id: Admit Wt t0: [08:48:00 13/02/2016] el: 1032 cg: 8 cu: MICU id: Allergy 1 t0: [08:48:00 13/02/2016] el: 1020 cg: 8 cu: MICU id: Diagnosis/op t0: [08:48:00 13/02/2016] el: 1023 cg: 8 cu: MICU id: Service t0: [08:48:00 13/02/2016] el: 1026 cg: 8 cu: MICU v1: MED id: Admit Ht t0: [08:48:00 13/02/2016] el: 1034 cg: 8 cu: MICU id: Readmission t0: [08:48:00 13/02/2016] el: 1014 cg: 8 cu: MICU id: Marital Status t0: [08:48:00 13/02/2016] el: 1006 cg: 8 cu: MICU v1: S id: Religion t0: [08:48:00 13/02/2016] el: 1000 cg: 8 cu: MICU v1: U id: Allergy 2 t0: [08:48:00 13/02/2016] el: 1021 cg: 8 cu: MICU id: Ext t0: [08:48:00 13/02/2016] el: 1010 cg: 8 cu: MICU id: Allergy 3 t0: [08:48:00 13/02/2016] el: 1022 cg: 8 cu: MICU
id: Service Type t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: NBP t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 88 n1: 88 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 61 n1: 61 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: Respiratory Rate t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 38.6667 n1: 38.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 101.6 n1: 101.6 u1: Deg. F st: NotStopd id: calprevflg t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:45:00 13/02/2016] el: 1 ai: 105 cg: RN cu: MICU vo: 500 vu: ml id: PPN t0: [08:45:00 13/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 62.5 vu: ml
id: O2 Delivery Device t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Non-Rebreather st: NotStopd id: O2 Delivery Device t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: O2 Flow (lpm) t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: lpm st: NotStopd id: SpO2 t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd
id: Pain Level t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 8-Severe st: NotStopd id: Pain Present t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Pain Assess Method t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: GI Prophylaxis t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: Education Barrier t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Education Handout t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Not Applicable st: NotStopd id: Education Method t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Explanation st: NotStopd id: Education Readiness t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Response t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Understands st: NotStopd id: Education Topic #1 t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Education Topic #2 t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: ICU Environment st: NotStopd id: Eye Opening t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1SiteAppear t0: [08:45:00 13/02/2016] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Abdominal Assessment t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Firm Distended st: NotStopd id: Activity t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Level of Conscious t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 105 n1: 105 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Oral Cavity t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Orientation t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 8-Severe st: NotStopd id: Pain Management t0: [09:00:00 13/02/2016] el: 1 cg: RN cu: MICU v1: IV Push st: NotStopd id: Pain Type t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Constant st: NotStopd id: Position t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Impaired st: NotStopd id: Therapeutic Bed t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Urine Source t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Condom Catheter st: NotStopd id: Verbal Response t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Braden Activity t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Very Limited st: NotStopd id: Braden Moisture t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: PPN t0: [09:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 15.625 vu: ml
pi: 4491518 hi: 27155 t0: [10:00:00 13/02/2016] tf: [09:00:00 12/04/2016] mn: Heparin Flush PICC (100 units/ml) pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4491519 hi: 27155 t0: [10:00:00 13/02/2016] tf: [16:00:00 17/02/2016] mn: Heparin Flush PICC (100 units/ml) pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4491537 hi: 27155 t0: [10:00:00 13/02/2016] tf: [16:00:00 17/02/2016] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4491553 hi: 27155 t0: [10:00:00 13/02/2016] tf: [09:00:00 14/02/2016] mn: Cosyntropin pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4491570 hi: 27155 t0: [10:00:00 13/02/2016] tf: [09:00:00 14/02/2016] mn: Dexamethasone pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: FiO2 Set t0: [09:00:00 13/02/2016] el: 0 cg: RRT cu: MICU v1: 0.35 n1: 0.35 u1: torr st: NotStopd id: Micro-Neb Treatment t0: [09:00:00 13/02/2016] el: 0 cg: RRT cu: MICU v1: alb/atr st: NotStopd id: O2 Delivery Device t0: [09:45:00 13/02/2016] el: 0 cg: RRT cu: MICU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [09:45:00 13/02/2016] el: 0 cg: RRT cu: MICU v1: 12 n1: 12 u1: lpm st: NotStopd
id: Service Type t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: NBP t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 66 n1: 66 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml
id: WBC (4-11,000) t0: [09:04:00 13/02/2016] el: 0 cg: 140 cu: MICU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: WBC t0: [09:04:00 13/02/2016] el: 0 cg: 140 cu: MICU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Hematocrit t0: [09:04:00 13/02/2016] el: 0 cg: 140 cu: MICU v1: 25.9 n1: 25.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [09:04:00 13/02/2016] el: 0 cg: 140 cu: MICU v1: 8.7 n1: 8.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [09:04:00 13/02/2016] el: 0 cg: 140 cu: MICU v1: 106 n1: 106 rs: Final st: NotStopd id: RBC t0: [09:04:00 13/02/2016] el: 0 cg: 140 cu: MICU v1: 2.77 n1: 2.77 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [09:04:00 13/02/2016] el: 0 cg: 140 cu: MICU v1: 1.2 n1: 1.2 rs: Final st: NotStopd
id: O2 Delivery Device t0: [10:30:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [10:30:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 5 n1: 5 u1: lpm st: NotStopd
id: PT t0: [09:04:00 13/02/2016] el: 0 cg: 140 cu: MICU v1: 16.6 n1: 16.6 rs: Final st: NotStopd id: INR t0: [09:04:00 13/02/2016] el: 0 cg: 140 cu: MICU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [09:04:00 13/02/2016] el: 0 cg: 140 cu: MICU v1: 41.8 n1: 41.8 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [09:04:00 13/02/2016] el: 0 cg: 140 cu: MICU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [09:04:00 13/02/2016] el: 0 cg: 140 cu: MICU v1: 16.6 n1: 16.6 rs: Final st: NotStopd id: PTT(22-35) t0: [09:04:00 13/02/2016] el: 0 cg: 140 cu: MICU v1: 41.8 n1: 41.8 rs: Final st: NotStopd
id: Service Type t0: [10:30:00 13/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [10:30:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:30:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Heart Rate t0: [10:30:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: PICC line v2: Left Antecub st: NotStopd id: IV #1 Insert Date t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 3 n2: 3 st: NotStopd id: IV Site Appear #1 t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: NBP t0: [10:30:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 85 n1: 85 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [10:30:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 60 n1: 60 u1: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [10:30:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:30:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:30:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: Respiratory Rate t0: [10:30:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: BPM st: NotStopd id: Significant Events t0: [10:30:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Fluid Bolus st: NotStopd id: Significant Events t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [10:30:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: INV#1 Cap Change t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: INV#1 Tubing Change t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: calprevflg t0: [10:30:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:30:00 13/02/2016] el: 1 ai: 105 cg: RN cu: MICU vo: 500 vu: ml id: D5W 100.0ml t0: [11:00:00 13/02/2016] el: 1 ai: 105 cg: RN cu: MICU vo: 500 vu: ml id: D5W 100.0ml t0: [11:00:00 13/02/2016] el: 2 ai: 416 cg: RN cu: MICU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 0 vu: ml id: PPN t0: [11:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 125 vu: ml
id: IV Infusion In Total t0: [23:00:00 13/02/2016] el: 1 cg: RN cu: MICU pv: 175 cv: 4510 ac: 24 ap: none re: 0 id: IV Nutrition Total t0: [23:00:00 13/02/2016] el: 1 cg: RN cu: MICU cv: 515.625 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 13/02/2016] el: 1 cg: RN cu: MICU pv: 175 cv: 5475.62 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 13/02/2016] el: 1 cg: RN cu: MICU pv: -125 cv: 4675.62 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 13/02/2016] el: 1 cg: RN cu: MICU pv: -125 cv: 4675.62 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 13/02/2016] el: 1 cg: RN cu: MICU pv: -125 cv: -125 ac: 1 ap: none re: 0
pi: 4492153 hi: 27155 t0: [14:00:00 13/02/2016] tf: [15:00:00 13/02/2016] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 1500 ml/hr for 1500 ml ir: 1500 it: C ss: N dt: 1 di: Hours xu: Enter on Label
id: Pain Level t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 5-Moderate st: NotStopd id: Pain Present t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Pain Assess Method t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Service Type t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [13:10:00 13/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [13:10:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [13:10:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Frequency t0: [13:10:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [13:10:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Eye Care t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Eye Opening t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [13:10:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:10:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1SiteAppear t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Abdominal Assessment t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Firm Distended st: NotStopd id: IV #1 Insert Date t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 3 n2: 3 st: NotStopd id: IV #1 Site/Size t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Left Hand v2: 20 gauge st: NotStopd id: Activity t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Level of Conscious t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [13:10:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 63 n1: 63 u1: mmHg st: NotStopd id: NBP Mean t0: [13:10:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Oral Care t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Oral Cavity t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Oral Ulcers st: NotStopd id: Orientation t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 5-Moderate st: NotStopd id: Pain Location t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Pain Management t0: [11:00:00 13/02/2016] el: 1 cg: RN cu: MICU v1: Repositioned st: NotStopd id: Pain Type t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Constant st: NotStopd id: Position t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [13:10:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:10:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 85 n1: 85 u1: mmHg u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:10:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:10:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:10:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: RLL Lung Sounds t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:10:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 13 n1: 13 u1: BPM st: NotStopd id: Restraint Location t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 3 rails up st: NotStopd id: Skin Care t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Skin Integrity t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % st: NotStopd id: SpO2 t0: [13:10:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: INV#1 Cap Change t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: INV#1 Tubing Change t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: Temp. Site t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 38.0556 n1: 38.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 100.5 n1: 100.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: MICU st: NotStopd id: Urine Source t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Condom Catheter st: NotStopd id: Verbal Response t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: Back Care t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:10:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Braden Activity t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Very Limited st: NotStopd id: Braden Moisture t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml id: PPN t0: [12:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 62.5 vu: ml id: PPN t0: [13:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 62.5 vu: ml
id: Po Intake t0: [10:00:00 13/02/2016] el: 1 ai: 103 cg: RN cu: MICU vo: 450 vu: ml
id: PO/Gastric In Total t0: [23:00:00 13/02/2016] el: 1 cg: RN cu: MICU cv: 450 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 13/02/2016] el: 2 cg: RN cu: CCU cv: 450 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 13/02/2016] el: 3 cg: RN cu: CSRU cv: 450 ac: 24 ap: none re: 0
id: D5W 100.0ml t0: [14:00:00 13/02/2016] el: 2 ai: 416 cg: RN cu: MICU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 0 vu: ml
id: Service Type t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP Mean t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: LL Strength/Movement t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Lifts/Falls Back st: NotStopd id: LLE Temp/Color t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Hot v2: Flushed st: NotStopd id: LU Strength/Movement t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Normal Strength st: NotStopd id: LUE Temp/Color t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Warm v2: Flushed st: NotStopd id: Pupil Response R/L t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Lifts and Holds st: NotStopd id: RLE Temp/Color t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Warm v2: Flushed st: NotStopd id: RU Strength/Movement t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Normal Strength st: NotStopd id: RUE Temp/Color t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Warm v2: Flushed st: NotStopd id: Seizure Activity t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd
id: IV Site Appear #1 t0: [14:00:00 13/02/2016] el: 0 cg: -1 cu: MICU st: D/C'd
pi: 4492279 hi: 27155 t0: [15:00:00 13/02/2016] tf: [17:00:00 13/02/2016] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 1000 ml/hr for 2000 ml ir: 1000 it: C ss: N dt: 2 di: Hours xu: Enter on Label
id: Procedures t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Urine Culture st: NotStopd
id: PPN t0: [14:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 62.5 vu: ml id: Urine Out Condom Cath t0: [14:00:00 13/02/2016] el: 1 cg: RN cu: MICU vo: 220 vu: ml
id: INV Line#1 Type/Site t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: PICC line v2: Left Antecub st: NotStopd id: IV #1 D/C Date t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 3 n2: 3 st: NotStopd id: IV #1 Insert Date t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 3 n2: 3 st: NotStopd id: IV #1 Site/Size t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Left Hand v2: 20 gauge st: NotStopd id: INV#1 Dsg Change t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: INV#1 Cap Change t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: INV#1 Tubing Change t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd
id: Service Type t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: % st: NotStopd id: Temp. Site t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Eye Opening t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: LL Strength/Movement t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Lifts/Falls Back st: NotStopd id: LU Strength/Movement t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Normal Strength st: NotStopd id: Level of Conscious t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP Mean t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Orientation t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Lifts and Holds st: NotStopd id: RU Strength/Movement t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Normal Strength st: NotStopd id: Respiratory Rate t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 13 n1: 13 u1: BPM st: NotStopd id: Seizure Activity t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Significant Events t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: % st: NotStopd id: Verbal Response t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [14:00:00 13/02/2016] el: 1 ai: 105 cg: RN cu: MICU vo: 1000 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml id: PPN t0: [15:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 62.5 vu: ml id: PPN t0: [16:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 62.5 vu: ml id: Urine Out Condom Cath t0: [15:00:00 13/02/2016] el: 1 cg: RN cu: MICU vo: 100 vu: ml
id: Diet Type t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: LLL Lung Sounds t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Oral Cavity t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Oral Ulcers st: NotStopd id: RLL Lung Sounds t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Urine Source t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Condom Catheter st: NotStopd
id: Service Type t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Precautions t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 17 n1: 17 u1: BPM st: NotStopd id: Significant Events t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [16:00:00 13/02/2016] el: 1 ai: 105 cg: RN cu: MICU vo: 1000 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml id: PPN t0: [17:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: MICU vu: ml st: Stopped
id: GU Cath Insert Date t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 3 n2: 3 st: NotStopd id: GU Catheter Size t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 16 French st: NotStopd id: Urine Color/Appear t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd
id: Pain Level t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 8-Severe st: NotStopd id: Pain Level t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 5-Moderate st: NotStopd id: Pain Present t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Pain Present t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Pain Assess Method t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: PainLevel Acceptable t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Eye Care t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: HOB t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1SiteAppear t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: O2 Delivery Device t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Pain Cause t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: At Rest st: NotStopd id: Pain Cause t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 8-Severe st: NotStopd id: Pain Level (Rest) t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 5-Moderate st: NotStopd id: Pain Location t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Pain Type t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Constant st: NotStopd id: Pain Type t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Constant st: NotStopd id: Position t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: Assistance Device t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: Restraint Location t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 3 rails up st: NotStopd id: Skin Care t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Skin Integrity t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Impaired st: NotStopd id: INV#1 Cap Change t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: INV#1 Tubing Change t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: Therapeutic Bed t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Back Care t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Braden Activity t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Very Limited st: NotStopd id: Braden Moisture t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [18:00:00 13/02/2016] el: 2 ai: 416 cg: RN cu: MICU vo: 100 vu: ml id: Urine Out Foley t0: [18:00:00 13/02/2016] el: 1 cg: RN cu: MICU vu: ml es: Medium id: Urine Out Condom Cath t0: [17:00:00 13/02/2016] el: 1 cg: RN cu: MICU vo: 180 vu: ml
id: IV Nutrition Total t0: [23:00:00 13/02/2016] el: 2 cg: RN cu: CCU cv: 515.625 ac: 24 ap: none re: 0 id: IV Nutrition Total t0: [23:00:00 13/02/2016] el: 3 cg: RN cu: CSRU cv: 515.625 ac: 24 ap: none re: 0
pi: 4492913 hi: 27155 t0: [20:00:00 13/02/2016] tf: [11:00:00 18/02/2016] mn: Heparin pt: Unit Dose st: Discontinued rt: SC fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4492937 hi: 27155 t0: [20:00:00 13/02/2016] tf: [19:00:00 14/02/2016] mn: Midazolam HCl pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4492938 hi: 27155 t0: [20:00:00 13/02/2016] tf: [19:00:00 14/02/2016] mn: Fentanyl Citrate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Level t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 8-Severe st: NotStopd id: Pain Present t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Pain Assess Method t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Service Type t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Eye Opening t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 3 n2: 3 st: NotStopd id: GU Catheter Size t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 16 French st: NotStopd id: HOB t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1SiteAppear t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Abdominal Assessment t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Soft st: NotStopd id: Activity t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Lifts/Falls Back st: NotStopd id: LLE Temp/Color t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Warm v2: Flushed st: NotStopd id: LLL Lung Sounds t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Normal Strength st: NotStopd id: LUE Temp/Color t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Warm v2: Flushed st: NotStopd id: LUL Lung Sounds t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Level of Conscious t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 107 n1: 107 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 80 n1: 80 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Oral Cavity t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Oral Ulcers st: NotStopd id: Orientation t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 8-Severe st: NotStopd id: Pain Type t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Constant st: NotStopd id: Position t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Supervised st: NotStopd id: Precautions t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: Pupil Response R/L t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Lifts and Holds st: NotStopd id: RLE Temp/Color t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Warm v2: Flushed st: NotStopd id: RLL Lung Sounds t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Normal Strength st: NotStopd id: RUE Temp/Color t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Warm v2: Flushed st: NotStopd id: RUL Lung Sounds t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 13 n1: 13 u1: BPM st: NotStopd id: Restraint Location t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Seizure Activity t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 3 rails up st: NotStopd id: SpO2 t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: INV#1 Cap Change t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: INV#1 Tubing Change t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: Temp. Site t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Braden Activity t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Very Limited st: NotStopd id: Braden Moisture t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml
id: Urine Out Foley t0: [23:00:00 13/02/2016] el: 1 cg: RN cu: MICU vo: 300 vu: ml
id: Total Hourly Output t0: [23:00:00 13/02/2016] el: 1 cg: RN cu: MICU pv: 300 cv: 300 ac: 1 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 13/02/2016] el: 2 cg: RN cu: CCU pv: 300 cv: 300 ac: 1 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 13/02/2016] el: 3 cg: RN cu: CSRU pv: 300 cv: 300 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 13/02/2016] el: 1 cg: RN cu: MICU pv: 300 cv: 800 ac: 24 ap: carryForward re: 0 id: Urine Out Total t0: [23:00:00 13/02/2016] el: 2 cg: RN cu: CCU pv: 300 cv: 800 ac: 24 ap: carryForward re: 0 id: Urine Out Total t0: [23:00:00 13/02/2016] el: 3 cg: RN cu: CSRU pv: 300 cv: 800 ac: 24 ap: carryForward re: 0 id: 24h Total Out t0: [23:00:00 13/02/2016] el: 1 cg: RN cu: MICU pv: 300 cv: 800 ac: 24 ap: carryForward re: 0 id: 24h Total Out t0: [23:00:00 13/02/2016] el: 2 cg: RN cu: CCU pv: 300 cv: 800 ac: 24 ap: carryForward re: 0 id: 24h Total Out t0: [23:00:00 13/02/2016] el: 3 cg: RN cu: CSRU pv: 300 cv: 800 ac: 24 ap: carryForward re: 0
pi: 4493431 hi: 27155 t0: [00:00:00 14/02/2016] tf: [11:00:00 18/02/2016] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 125 ml/hr ir: 125 it: C ss: N di: Ongoing xu: Enter on Label
id: D5W 100.0ml t0: [23:00:00 13/02/2016] el: 2 ai: 416 cg: RN cu: MICU vo: 100 vu: ml
id: IV Infusion In Total t0: [23:00:00 13/02/2016] el: 2 cg: RN cu: CCU pv: 175 cv: 4510 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 13/02/2016] el: 3 cg: RN cu: CSRU pv: 175 cv: 4510 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 13/02/2016] el: 2 cg: RN cu: CCU pv: 175 cv: 5475.62 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 13/02/2016] el: 3 cg: RN cu: CSRU pv: 175 cv: 5475.62 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 13/02/2016] el: 2 cg: RN cu: CCU pv: -125 cv: 4675.62 ac: 24 ap: carryForward re: 0 id: 24h Net Body Balance t0: [23:00:00 13/02/2016] el: 3 cg: RN cu: CSRU pv: -125 cv: 4675.62 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 13/02/2016] el: 2 cg: RN cu: CCU pv: -125 cv: 4675.62 ac: multiple days ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 13/02/2016] el: 3 cg: RN cu: CSRU pv: -125 cv: 4675.62 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 13/02/2016] el: 2 cg: RN cu: CCU pv: -125 cv: -125 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 13/02/2016] el: 3 cg: RN cu: CSRU pv: -125 cv: -125 ac: 1 ap: none re: 0
id: Service Type t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Heart Rate t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 125 vu: ml id: Urine Out Foley t0: [00:00:00 14/02/2016] el: 1 cg: RN cu: MICU vo: 60 vu: ml
id: GI Prophylaxis t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd
id: D5W 100.0ml t0: [00:00:00 14/02/2016] el: 2 ai: 416 cg: RN cu: MICU vo: 150 vu: ml id: D5W 100.0ml t0: [23:30:00 13/02/2016] el: 2 ai: 416 cg: RN cu: MICU vo: 100 vu: ml
id: Service Type t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Precautions t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml
id: Pain Level t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 3-Mild to Mod st: NotStopd id: Pain Assess Method t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: NBP t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 102 n1: 102 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Pain Level (Rest) t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 3-Mild to Mod st: NotStopd
id: Service Type t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Precautions t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml
id: NBP t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 103 n1: 103 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 75 n1: 75 u1: mmHg st: NotStopd
id: Urine Out Foley t0: [02:00:00 14/02/2016] el: 1 cg: RN cu: MICU vo: 100 vu: ml
id: Service Type t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml
id: Pain Present t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 14/02/2016] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Eye Care t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 3 n2: 3 st: NotStopd id: GU Catheter Size t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 16 French st: NotStopd id: HOB t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Soft st: NotStopd id: Activity t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Abdomen st: NotStopd id: LL Strength/Movement t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Lifts/Falls Back st: NotStopd id: LLE Temp/Color t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Warm v2: Flushed st: NotStopd id: LLL Lung Sounds t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Strength st: NotStopd id: LUE Temp/Color t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Warm v2: Flushed st: NotStopd id: LUL Lung Sounds t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 71 n1: 71 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Oral Ulcers st: NotStopd id: Orientation t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Position t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Supervised st: NotStopd id: Precautions t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Lifts and Holds st: NotStopd id: RLE Temp/Color t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Warm v2: Flushed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Strength st: NotStopd id: RUE Temp/Color t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Warm v2: Flushed st: NotStopd id: RUL Lung Sounds t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Seizure Activity t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 3 rails up st: NotStopd id: Skin Care t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Impaired st: NotStopd id: Skin Integrity t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: MICU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: INV#1 Cap Change t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: Temp. Site t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: Back Care t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml id: Urine Out Foley t0: [04:00:00 14/02/2016] el: 1 cg: RN cu: MICU vo: 80 vu: ml
id: Service Type t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 108 n1: 108 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [05:00:00 14/02/2016] el: 2 ai: 416 cg: RN cu: MICU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml
id: WBC (4-11,000) t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: WBC t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Hematocrit t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 28.3 n1: 28.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 9.7 n1: 9.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 111 n1: 111 rs: Final st: NotStopd id: RBC t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 3.01 n1: 3.01 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 2.2 n1: 2.2 rs: Final st: NotStopd
id: Pain Level t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 9-Severe-Worst st: NotStopd id: Pain Present t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Pain Assess Method t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Pain Cause t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 9-Severe-Worst st: NotStopd id: Pain Type t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Constant st: NotStopd
id: PT t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 15.4 n1: 15.4 rs: Final st: NotStopd id: INR t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 39.2 n1: 39.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 15.4 n1: 15.4 rs: Final st: NotStopd id: PTT(22-35) t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 39.2 n1: 39.2 rs: Final st: NotStopd
id: BUN t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 11 n1: 11 rs: Final st: NotStopd id: Calcium t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 7.6 n1: 7.6 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 113 n1: 113 rs: Final st: NotStopd id: Creatinine t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 0.6 n1: 0.6 rs: Final st: NotStopd id: Glucose t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 107 n1: 107 rs: Final st: NotStopd id: Magnesium t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 5.5 n1: 5.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 11 n1: 11 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 7.6 n1: 7.6 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 18 n1: 18 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 113 n1: 113 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 0.6 n1: 0.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 107 n1: 107 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 5.5 n1: 5.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:26:00 14/02/2016] el: 0 cg: 140 cu: MICU v1: 141 n1: 141 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml
id: Service Type t0: [07:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [07:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 92 n1: 92 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml id: Urine Out Foley t0: [06:00:00 14/02/2016] el: 1 cg: RN cu: MICU vo: 120 vu: ml id: Drain Out #1 JP Medial t0: [06:00:00 14/02/2016] el: 1 cg: RN cu: MICU vo: 0 vu: ml
id: Drain #1 Total Out t0: [23:00:00 14/02/2016] el: 1 cg: RN cu: MICU cv: 5 ac: 24 ap: none re: 0
id: Urine Out Condom Cath t0: [08:00:00 14/02/2016] el: 1 cg: -1 cu: MICU vo: 0 st: D/C'd
id: Pain Present t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 14/02/2016] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Ectopy Frequency t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: GU Cath Insert Date t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 3 n2: 3 st: NotStopd id: GU Catheter Size t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 16 French st: NotStopd id: HOB t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Dry Sterile Dsg st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Abdomen st: NotStopd id: Level of Conscious t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: NBP t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 72 n1: 72 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Oral Ulcers st: NotStopd id: Position t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: Assistance Device t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Supervised st: NotStopd id: Precautions t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: Respiratory Pattern t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 12 n1: 12 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: Temp. Site t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 35.6667 n1: 35.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 96.2 n1: 96.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Calm st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml id: Urine Out Foley t0: [08:00:00 14/02/2016] el: 1 cg: RN cu: MICU vo: 60 vu: ml
id: Dorsal PedPulse R/L t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: Eye Opening t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: Abdominal Assessment t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Soft st: NotStopd id: LL Strength/Movement t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Lifts and Holds st: NotStopd id: LLE Temp/Color t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Warm v2: Pink st: NotStopd id: LLL Lung Sounds t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: LU Strength/Movement t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Strength st: NotStopd id: LUE Temp/Color t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Warm v2: Pink st: NotStopd id: LUL Lung Sounds t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Motor Response t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: RL Strength/Movement t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Lifts and Holds st: NotStopd id: RLE Temp/Color t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Warm v2: Pink st: NotStopd id: RLL Lung Sounds t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: RU Strength/Movement t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Strength st: NotStopd id: RUE Temp/Color t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Warm v2: Pink st: NotStopd id: RUL Lung Sounds t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Seizure Activity t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Verbal Response t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Hyperactive st: NotStopd
pi: 4494232 hi: 27155 t0: [10:00:00 14/02/2016] tf: [23:00:00 14/02/2016] mn: Alteplase (Catheter Clearance) pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4494435 hi: 27155 t0: [11:00:00 14/02/2016] tf: [23:00:00 14/02/2016] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml LR Bolus 1000 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Pain Level t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 7-Mod to Severe st: NotStopd id: Pain Present t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Pain Assess Method t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Service Type t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [11:00:00 14/02/2016] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 0 n1: 0 u1: mmHg v2: 0 n2: 0 u2: mmHg st: NotStopd id: Pain Cause t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 7-Mod to Severe st: NotStopd id: Pain Location t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Incisional st: NotStopd id: Pain Management t0: [11:00:00 14/02/2016] el: 1 cg: RN cu: MICU v1: IV Push st: NotStopd id: Pain Type t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Constant st: NotStopd id: Precautions t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 14/02/2016] el: 2 ai: 416 cg: RN cu: MICU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml id: Urine Out Foley t0: [10:00:00 14/02/2016] el: 1 cg: RN cu: MICU vo: 60 vu: ml
id: Total Hourly Output t0: [23:00:00 14/02/2016] el: 1 cg: RN cu: MICU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 14/02/2016] el: 1 cg: RN cu: MICU cv: 800 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 14/02/2016] el: 1 cg: RN cu: MICU cv: 805 ac: 24 ap: none re: 0
id: D5W 100.0ml t0: [11:00:00 14/02/2016] el: 1 ai: 105 cg: -1 cu: MICU vo: 0 st: D/C'd
pi: 4494602 hi: 27155 t0: [12:00:00 14/02/2016] tf: [12:00:00 14/02/2016] pt: TPN st: Inactive (Due to a change order)
id: Service Type t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 101 n1: 101 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: SpO2 t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml
id: Significant Events t0: [11:30:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Fluid Bolus st: NotStopd
id: Lactated Ringers t0: [11:30:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 1000 vu: ml nb: 1
id: IV Infusion In Total t0: [23:00:00 14/02/2016] el: 1 cg: RN cu: MICU cv: 3175 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 14/02/2016] el: 1 cg: RN cu: MICU cv: 3237.25 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 14/02/2016] el: 1 cg: RN cu: MICU cv: 2432.25 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 14/02/2016] el: 1 cg: RN cu: MICU cv: 7107.88 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 14/02/2016] el: 1 cg: RN cu: MICU cv: 0 ac: 1 ap: none re: 0
pi: 4494635 hi: 27155 t0: [12:00:00 14/02/2016] tf: [00:00:00 15/02/2016] pt: TPN st: Inactive (Due to a change order)
id: LL Strength/Movement t0: [13:00:00 14/02/2016] el: 0 cg: -1 cu: MICU st: D/C'd id: LLE Temp/Color t0: [13:00:00 14/02/2016] el: 0 cg: -1 cu: MICU st: D/C'd id: LU Strength/Movement t0: [13:00:00 14/02/2016] el: 0 cg: -1 cu: MICU st: D/C'd id: LUE Temp/Color t0: [13:00:00 14/02/2016] el: 0 cg: -1 cu: MICU st: D/C'd id: RL Strength/Movement t0: [13:00:00 14/02/2016] el: 0 cg: -1 cu: MICU st: D/C'd id: RLE Temp/Color t0: [13:00:00 14/02/2016] el: 0 cg: -1 cu: MICU st: D/C'd id: RU Strength/Movement t0: [13:00:00 14/02/2016] el: 0 cg: -1 cu: MICU st: D/C'd id: RUE Temp/Color t0: [13:00:00 14/02/2016] el: 0 cg: -1 cu: MICU st: D/C'd
id: Service Type t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Frequency t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Health Care Proxy t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Heart Rate t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 101 n1: 101 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 102 n1: 102 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 78 n1: 78 u1: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [13:00:00 14/02/2016] el: 2 ai: 416 cg: RN cu: MICU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [13:00:00 14/02/2016] el: 1 cg: RN cu: MICU vo: 80 vu: ml
id: GI Prophylaxis t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Alarms t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Eye Opening t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 3 n2: 3 st: NotStopd id: GU Catheter Size t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 16 French st: NotStopd id: Level of Conscious t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Oral Ulcers st: NotStopd id: Orientation t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: RU Strength/Movement t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Urine Color/Appear t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd
id: Temp. Site t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 35.7778 n1: 35.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 96.4 n1: 96.4 u1: Deg. F st: NotStopd
id: Abdominal Assessment t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: O2 Delivery Device t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 5 n1: 5 u1: lpm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Seizure Activity t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Bowel Sounds t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: Family Communication t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Family Visited st: NotStopd id: HOB t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: ImpSkin Drain/Amt#1 t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Brown v2: Scant st: NotStopd id: ImpSkin Treatment #1 t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Dry Sterile Dsg st: NotStopd id: Position t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: Assistance Device t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Supervised st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: Skin Integrity t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Impaired st: NotStopd id: INV#1 Cap Change t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: Therapeutic Bed t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Turns by self st: NotStopd id: Behavior t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Calm st: NotStopd
id: Service Type t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Ectopy Frequency t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Health Care Proxy t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Health Care Proxy t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Eye Opening t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 14 n1: 14 u1: points st: NotStopd id: GU Cath Insert Date t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 3 n2: 3 st: NotStopd id: GU Catheter Size t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 16 French st: NotStopd id: Heart Rate t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 103 n1: 103 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 92 n1: 92 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 74 n1: 74 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Oral Cavity t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Oral Ulcers st: NotStopd id: Orientation t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Disoriented st: NotStopd id: Precautions t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 14 n1: 14 u1: BPM st: NotStopd id: Seizure Activity t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: SpO2 t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 92 n1: 92 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 35.7778 n1: 35.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 96.4 n1: 96.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 4 Confused st: NotStopd id: calprevflg t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml id: Urine Out Foley t0: [16:00:00 14/02/2016] el: 1 cg: RN cu: MICU vo: 100 vu: ml
id: INV Line#1 Type/Site t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Dry Sterile Dsg st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: Skin Integrity t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Impaired st: NotStopd id: INV#1 Cap Change t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: Behavior t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Calm st: NotStopd
id: HOB t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Activity t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: Position t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: Assistance Device t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Therapeutic Bed t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Back Care t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Done st: NotStopd
id: Service Type t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Health Care Proxy t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 102 n1: 102 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 73 n1: 73 u1: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [18:00:00 14/02/2016] el: 2 ai: 416 cg: RN cu: MICU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml id: Drain Out #1 JP Medial t0: [18:00:00 14/02/2016] el: 1 cg: RN cu: MICU vo: 5 vu: ml
id: Drain #1 Total Out t0: [23:00:00 14/02/2016] el: 2 cg: RN cu: CCU cv: 5 ac: 24 ap: none re: 0 id: Drain #1 Total Out t0: [23:00:00 14/02/2016] el: 3 cg: RN cu: CSRU cv: 5 ac: 24 ap: none re: 0
io: PPN 1000.0ml el: 1 cg: RN cu: MICU ra: 41.5 ru: ml/hr
id: PPN 1000.0ml t0: [18:30:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 0 vu: ml nb: 1
id: Urine Out Foley t0: [18:00:00 14/02/2016] el: 1 cg: RN cu: MICU vo: 80 vu: ml
id: Pain Present t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Service Type t0: [19:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [19:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 14/02/2016] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [19:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 111 n1: 111 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 105 n1: 105 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Pain Cause t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: At Rest st: NotStopd id: Pain Location t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Abdominal st: NotStopd id: Pain Type t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Constant st: NotStopd id: Precautions t0: [19:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM v2: 100 n2: 100 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: % v2: 30 n2: 30 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 89 n1: 89 u1: % st: NotStopd id: SpO2 t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: calprevflg t0: [19:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: GI Prophylaxis t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Education Topic #1 t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 3 n2: 3 st: NotStopd id: GU Catheter Size t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 16 French st: NotStopd id: HOB t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Soft st: NotStopd id: Activity t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Dry Sterile Dsg st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Abdomen st: NotStopd id: LLL Lung Sounds t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Oral Ulcers st: NotStopd id: Orientation t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: Assistance Device t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 1 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: RLL Lung Sounds t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Seizure Activity t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 3 rails up st: NotStopd id: Support Systems t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 2 n1: 2 v2: 1 n2: 1 st: NotStopd id: Therapeutic Bed t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Behavior t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: D5W 100.0ml t0: [20:00:00 14/02/2016] el: 2 ai: 416 cg: RN cu: MICU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 75 vu: ml id: PPN 1000.0ml t0: [19:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 20.75 vu: ml id: PPN 1000.0ml t0: [20:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: MICU vo: 41.5 vu: ml id: Urine Out Foley t0: [20:00:00 14/02/2016] el: 1 cg: RN cu: MICU vo: 60 vu: ml
id: IV Infusion In Total t0: [23:00:00 14/02/2016] el: 2 cg: RN cu: CCU cv: 3175 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 14/02/2016] el: 3 cg: RN cu: CSRU cv: 3175 ac: 24 ap: none re: 0 id: IV Nutrition Total t0: [23:00:00 14/02/2016] el: 1 cg: RN cu: -1 cv: 62.25 ac: 24 ap: none re: 0 id: IV Nutrition Total t0: [23:00:00 14/02/2016] el: 2 cg: RN cu: CCU cv: 62.25 ac: 24 ap: none re: 0 id: IV Nutrition Total t0: [23:00:00 14/02/2016] el: 3 cg: RN cu: CSRU cv: 62.25 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 14/02/2016] el: 2 cg: RN cu: CCU cv: 3237.25 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 14/02/2016] el: 3 cg: RN cu: CSRU cv: 3237.25 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 14/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 14/02/2016] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 14/02/2016] el: 2 cg: RN cu: CCU cv: 800 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 14/02/2016] el: 3 cg: RN cu: CSRU cv: 800 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 14/02/2016] el: 2 cg: RN cu: CCU cv: 2432.25 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 14/02/2016] el: 3 cg: RN cu: CSRU cv: 2432.25 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 14/02/2016] el: 2 cg: RN cu: CCU cv: 7107.88 ac: multiple days ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 14/02/2016] el: 3 cg: RN cu: CSRU cv: 7107.88 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 14/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 14/02/2016] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 14/02/2016] el: 2 cg: RN cu: CCU cv: 805 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 14/02/2016] el: 3 cg: RN cu: CSRU cv: 805 ac: 24 ap: none re: 0
ci: 38573 t0: [08:48:00 13/02/2016] cu: MICU de: Regular ward dt: 2239
pi: 4495828 hi: 27155 t0: [00:00:00 15/02/2016] tf: [16:00:00 17/02/2016] mn: Heparin Flush PICC (100 units/ml) pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
pi: 4495891 hi: 27155 t0: [08:00:00 15/02/2016] tf: [08:00:00 23/02/2016] mn: Docusate Sodium pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4495892 hi: 27155 t0: [01:00:00 15/02/2016] tf: [17:00:00 22/03/2016] mn: Senna pt: Unit Dose st: Discontinued rt: PO fr: BID:PRN di: Ongoing xv: 36 xu: Hours
pi: 4497368 hi: 27155 t0: [14:00:00 15/02/2016] pt: TPN st: Expired
pi: 4501171 hi: 27155 t0: [12:00:00 16/02/2016] pt: TPN st: Expired
pi: 4501825 hi: 27155 t0: [17:00:00 16/02/2016] tf: [15:00:00 17/02/2016] mn: Cosyntropin pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4501826 hi: 27155 t0: [14:00:00 16/02/2016] tf: [07:00:00 17/02/2016] mn: Filgrastim pt: IV Piggyback st: Discontinued rt: SC fr: Q24H ds: 14 dn: 1 dt: 1 di: Doses xu: Enter on Label
pi: 4503171 hi: 27155 t0: [23:00:00 16/02/2016] tf: [22:00:00 17/02/2016] mn: Lorazepam pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4503199 hi: 27155 t0: [23:00:00 16/02/2016] tf: [16:00:00 17/02/2016] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4503200 hi: 27155 t0: [23:00:00 16/02/2016] tf: [16:00:00 17/02/2016] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: SAPS-I t0: [00:00:00 17/02/2016] el: 0 cg: LCP cu: LCP at MIT n1: 10
pi: 4503956 hi: 27155 t0: [08:00:00 17/02/2016] tf: [07:00:00 17/02/2016] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4503977 hi: 27155 t0: [08:00:00 17/02/2016] tf: [08:00:00 17/02/2016] mn: Potassium Chloride pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 dt: 24 di: Hours xv: 36 xu: Hours
pi: 4504069 hi: 27155 t0: [09:00:00 17/02/2016] tf: [16:00:00 17/02/2016] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4504070 hi: 27155 t0: [09:00:00 17/02/2016] tf: [08:00:00 17/02/2016] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4504106 hi: 27155 t0: [09:00:00 17/02/2016] tf: [16:00:00 17/02/2016] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4504591 hi: 27155 t0: [11:00:00 17/02/2016] pt: TPN st: Expired
id: Lactated Ringers t0: [13:00:00 17/02/2016] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Pain Present t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Riker-SAS Scale t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [13:45:00 17/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Readmit <48 hrs t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Ectopy Frequency t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: IV #1 Site/Size t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Level of Conscious t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Venti Mask st: NotStopd id: Oral Cavity t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Position t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Respiratory Pattern t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Temp. Site t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Source t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Daily Weight t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd
id: LOS Net Body Balance t0: [23:00:00 15/02/2016] el: 2 cg: RN cu: CCU cv: 7107.88 ac: multiple days ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 15/02/2016] el: 3 cg: RN cu: CSRU cv: 7107.88 ac: multiple days ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 16/02/2016] el: 2 cg: RN cu: CCU cv: 7107.88 ac: multiple days ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 16/02/2016] el: 3 cg: RN cu: CSRU cv: 7107.88 ac: multiple days ap: carryForward re: 0
id: ImpSkin Character #1 t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: Impaired Skin Site#1 t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Skin Integrity t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Behavior t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Braden Activity t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [13:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: Dorsal PedPulse R/L t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Eye Opening t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Level of Conscious t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Motor Response t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Seizure Activity t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Skin Care t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Verbal Response t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vu: ml nb: 1 id: TPN 1000.0ml t0: [14:00:00 17/02/2016] el: 1 ai: 304 cg: RN cu: CCU vu: ml nb: 1
id: Service Type t0: [14:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: MICU st: NotStopd id: Service Type t0: [15:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: MICU st: NotStopd id: Readmit <48 hrs t0: [15:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: No st: NotStopd id: Ectopy Frequency t0: [15:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: None st: NotStopd id: Alarms t0: [15:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [15:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: NBP t0: [14:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 107 n1: 107 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP t0: [15:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 121 n1: 121 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Previous Weight t0: [15:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: Previous WeightF t0: [15:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Temp. Site t0: [15:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: calprevflg t0: [14:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [15:00:00 17/02/2016] el: 1 cg: CoWker cu: CCU vo: 120 vu: ml
pi: 4505570 hi: 27155 t0: [17:00:00 17/02/2016] tf: [09:00:00 12/04/2016] mn: Heparin Flush PICC (100 units/ml) pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Riker-SAS Scale t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 17/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Diet Type t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: House st: NotStopd id: Diet Type t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: House st: NotStopd id: Ectopy Frequency t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Abdominal Assessment t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Level of Conscious t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Motor Response t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Non-Rebreather st: NotStopd id: Oral Cavity t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 17/02/2016] 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 17/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Respiratory Pattern t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Seizure Activity t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: SpO2 t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Bowel Sounds t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: Urine Out Foley t0: [16:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
pi: 4505965 hi: 27155 t0: [10:00:00 17/02/2016] tf: [11:00:00 18/02/2016] mn: Lansoprazole pt: Unit Dose st: Discontinued rt: ORAL fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Ectopy Frequency t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1InsertDate t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 7 n2: 7 st: NotStopd id: INV Line#1SiteAppear t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV #1 Insert Date t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 7 n2: 7 st: NotStopd id: IV #1 Site/Size t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: NBP t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 17/02/2016] 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 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: Previous WeightF t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 17/02/2016] 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 17/02/2016] 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 17/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 38.2222 n1: 38.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 100.8 n1: 100.8 u1: Deg. F st: NotStopd id: calprevflg t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [18:00:00 17/02/2016] el: 2 ai: 416 cg: RN cu: CCU vo: 150 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: TPN 1000.0ml t0: [15:00:00 17/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: TPN 1000.0ml t0: [18:00:00 17/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 225 vu: ml id: Urine Out Foley t0: [18:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Service Type t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Ectopy Frequency t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: calprevflg t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [19:00:00 17/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [19:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Code Status t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Precautions t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd
id: Service Type t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: House st: NotStopd id: Ectopy Frequency t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: LLL Lung Sounds t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Non-Rebreather st: NotStopd id: Oral Cavity t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Precautions t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Urine Source t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [20:00:00 17/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [20:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Service Type t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: House st: NotStopd id: Ectopy Frequency t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: HOB t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1InsertDate t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 7 n2: 7 st: NotStopd id: INV Line#1SiteAppear t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 7 n2: 7 st: NotStopd id: IV #1 Site/Size t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: NBP t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Non-Rebreather st: NotStopd id: Oral Care t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Assistance Device t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Side Rails t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Back Care t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [20:00:00 17/02/2016] el: 1 ai: 155 cg: RN cu: CCU vo: 120 vu: ml id: TPN 1000.0ml t0: [22:00:00 17/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 150 vu: ml id: Urine Out Foley t0: [22:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: IV Nutrition Total t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU cv: 600 ac: 24 ap: none re: 0 id: IV Nutrition Total t0: [23:00:00 17/02/2016] el: 3 cg: RN cu: CSRU cv: 600 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU cv: 120 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 17/02/2016] el: 3 cg: RN cu: CSRU cv: 120 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 17/02/2016] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU cv: 540 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 17/02/2016] el: 3 cg: RN cu: CSRU cv: 540 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU cv: 540 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 17/02/2016] el: 3 cg: RN cu: CSRU cv: 540 ac: 24 ap: none re: 0
id: Service Type t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: House st: NotStopd id: Ectopy Frequency t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Level of Conscious t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Orientation t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Precautions t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous Weight t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: Previous WeightF t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Urine Source t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [00:00:00 18/02/2016] el: 2 ai: 416 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [22:00:00 17/02/2016] el: 2 ai: 416 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: TPN 1000.0ml t0: [00:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 150 vu: ml id: Urine Out Foley t0: [00:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 350 vu: ml
id: IV Infusion In Total t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU cv: 280 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 17/02/2016] el: 3 cg: RN cu: CSRU cv: 280 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU cv: 1000 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 17/02/2016] el: 3 cg: RN cu: CSRU cv: 1000 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU cv: 460 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 17/02/2016] el: 3 cg: RN cu: CSRU cv: 460 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU cv: 7567.88 ac: multiple days ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 17/02/2016] el: 3 cg: RN cu: CSRU cv: 7567.88 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 17/02/2016] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0
id: Ectopy Frequency t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Previous WeightF t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: Respiratory Rate t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: TPN 1000.0ml t0: [02:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 150 vu: ml id: Urine Out Foley t0: [02:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 340 vu: ml
id: Temp. Site t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: Deg. F st: NotStopd
id: Service Type t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: House st: NotStopd id: Ectopy Frequency t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: torr st: NotStopd id: GCS Total t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 7 n2: 7 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV #1 Insert Date t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 7 n2: 7 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Level of Conscious t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Motor Response t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Non-Rebreather st: NotStopd id: O2 Delivery Device t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Orientation t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Assistance Device t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: Previous WeightF t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: TPN 1000.0ml t0: [04:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 150 vu: ml id: Urine Out Foley t0: [04:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: WBC (4-11,000) t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 5.2 n1: 5.2 rs: Final st: NotStopd id: WBC t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 5.2 n1: 5.2 rs: Final st: NotStopd id: Hematocrit t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 27.2 n1: 27.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 9.1 n1: 9.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 77 n1: 77 rs: Final st: NotStopd id: RBC t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.88 n1: 2.88 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 5.2 n1: 5.2 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Heart Rate t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Precautions t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: calprevflg t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: PT t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.1 n1: 15.1 rs: Final st: NotStopd id: INR t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 39.6 n1: 39.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.1 n1: 15.1 rs: Final st: NotStopd id: PTT(22-35) t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 39.6 n1: 39.6 rs: Final st: NotStopd
id: Pain Present t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Cause t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Management t0: [02:00:00 18/02/2016] el: 1 cg: RN cu: CCU v1: IV Push v2: Repositioned st: NotStopd
id: LLL Lung Sounds t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Oral Cavity t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: RLL Lung Sounds t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd
id: Stool Out Stool t0: [00:00:00 18/02/2016] el: 1 cg: RN cu: CCU vu: ml es: Small id: Stool Out Stool t0: [04:00:00 18/02/2016] el: 1 cg: RN cu: CCU vu: ml es: Small id: Drain Out #1 Jackson Pratt t0: [04:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 5 vu: ml
id: Drain #1 Total Out t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU cv: 5 ac: 24 ap: none re: 0 id: Drain #1 Total Out t0: [23:00:00 18/02/2016] el: 3 cg: RN cu: CSRU cv: 5 ac: 24 ap: none re: 0
id: BUN t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Calcium t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 0.3 n1: 0.3 rs: Final st: NotStopd id: Glucose t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 113 n1: 113 rs: Final st: NotStopd id: Magnesium t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Phosphorous t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 0.3 n1: 0.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 113 n1: 113 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:00:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: torr st: NotStopd id: Heart Rate t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Precautions t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 18/02/2016] 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 18/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: TPN 1000.0ml t0: [06:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 150 vu: ml
id: Urine Out Foley t0: [06:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Pupil Response R/L t0: [09:00:00 18/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Pupil Size R/L t0: [09:00:00 18/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Seizure Activity t0: [09:00:00 18/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Seizure Duration t0: [09:00:00 18/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Pain Level t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Level/Response t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Present t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: bath t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: done id: Pain Assess Method t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 18/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: House st: NotStopd id: Ectopy Frequency t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 7 n2: 7 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 7 n2: 7 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Level of Conscious t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Location t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Pain Management t0: [08:00:00 18/02/2016] el: 1 cg: RN cu: CCU v1: IV Push v2: IV Push st: NotStopd id: Assistance Device t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: Previous WeightF t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: Previous WeightF t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Respiratory Pattern t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [08:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 150 vu: ml id: TPN 1000.0ml t0: [09:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [08:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 220 vu: ml
id: Inc Cleansing #1 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Inc Closure/Appear#1 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Approximated v2: Pink st: NotStopd id: Inc Drainage/Amt #1 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Serous v2: Small st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Changed st: NotStopd id: Incision/Wound #1 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Abdominal st: NotStopd
id: NBP t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd
id: Ectopy Frequency t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rhythm t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: SpO2 t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Insulin Guideline t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [10:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [10:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 240 vu: ml
id: BSA t0: [10:32:00 18/02/2016] el: 1033 cg: -1 cu: CCU id: Admit Wt t0: [10:32:00 18/02/2016] el: 1032 cg: -1 cu: CCU v1: 180 n1: 180 u1: kg id: Allergy 1 t0: [10:32:00 18/02/2016] el: 1020 cg: -1 cu: CCU id: Diagnosis/op t0: [10:32:00 18/02/2016] el: 1023 cg: -1 cu: CCU v1: RESPIRATORY DISTRESS id: Service t0: [10:32:00 18/02/2016] el: 1026 cg: -1 cu: CCU v1: MED id: Admit Ht t0: [10:32:00 18/02/2016] el: 1034 cg: -1 cu: CCU id: Readmission t0: [10:32:00 18/02/2016] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [10:32:00 18/02/2016] el: 1006 cg: -1 cu: CCU v1: S id: Religion t0: [10:32:00 18/02/2016] el: 1000 cg: -1 cu: CCU v1: U id: Allergy 2 t0: [10:32:00 18/02/2016] el: 1021 cg: -1 cu: CCU id: Ext t0: [10:32:00 18/02/2016] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [10:32:00 18/02/2016] el: 1022 cg: -1 cu: CCU
id: Service Type t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 18/02/2016] 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 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: Previous WeightF t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 18/02/2016] 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 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [11:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [11:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml
pi: 4508287 hi: 27155 t0: [11:00:00 18/02/2016] pt: TPN st: Expired
id: Service Type t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Precautions t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 18/02/2016] 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 18/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: calprevflg t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Level t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Level/Response t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Present t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Riker-SAS Scale t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 18/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: House st: NotStopd id: Eye Opening t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 7 n2: 7 st: NotStopd id: Abdominal Assessment t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 7 n2: 7 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Level of Conscious t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Motor Response t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Orientation t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Location t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Pain Management t0: [12:00:00 18/02/2016] el: 1 cg: RN cu: CCU v1: IV Push v2: IV Push st: NotStopd id: Pain Type t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Boring st: NotStopd id: Assistance Device t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: SpO2 t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [12:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Stool Out Stool t0: [08:00:00 18/02/2016] el: 1 cg: RN cu: CCU vu: ml es: Medium id: Urine Out Foley t0: [12:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Stool Out Total t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0 id: Stool Out Total t0: [23:00:00 18/02/2016] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: D5W 100.0ml t0: [12:00:00 18/02/2016] el: 2 ai: 416 cg: RN cu: CCU vo: 100 vu: ml
id: Service Type t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Precautions t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: BPM st: NotStopd id: calprevflg t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [13:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [13:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: Service Type t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous Weight t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 18/02/2016] 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: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: Previous WeightF t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 18/02/2016] 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 18/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: Deg. F st: NotStopd id: calprevflg t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: TPN 1000.0ml t0: [15:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 150 vu: ml id: Urine Out Foley t0: [15:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 70 vu: ml
id: Service Type t0: [16:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [16:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [16:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [16:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [16:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [16:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [16:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [16:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [16:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: HOB t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Activity t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Back Care t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Service Type t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 18/02/2016] 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 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: Previous WeightF t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 18/02/2016] 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 18/02/2016] 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 18/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: calprevflg t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: TPN 1000.0ml t0: [18:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 225 vu: ml id: Urine Out Foley t0: [18:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Pain Level t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Level/Response t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Present t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 18/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Education Topic #1 t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Abdominal Assessment t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Incision/Wound #1 t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Abdominal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Level of Conscious t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Motor Response t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Location t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Pain Management t0: [16:00:00 18/02/2016] el: 1 cg: RN cu: CCU v1: IV Push st: NotStopd id: Pain Type t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Boring st: NotStopd id: RLL Lung Sounds t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Respiratory Pattern t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Side Rails t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Urine Color/Appear t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [17:00:00 18/02/2016] el: 2 ai: 416 cg: RN cu: CCU vo: 250 vu: ml id: D5W 100.0ml t0: [18:00:00 18/02/2016] el: 2 ai: 416 cg: RN cu: CCU vo: 50 vu: ml
id: Ectopy Frequency t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Previous WeightF t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: Respiratory Rate t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [19:00:00 18/02/2016] el: 2 ai: 416 cg: RN cu: CCU vo: 100 vu: ml
id: Service Type t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: calprevflg t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: calprevflg t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [21:00:00 18/02/2016] el: 2 ai: 416 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Gastric Meds t0: [21:00:00 18/02/2016] el: 1 ai: 155 cg: RN cu: CCU vo: 100 vu: ml id: TPN 1000.0ml t0: [21:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 225 vu: ml id: Urine Out Foley t0: [21:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 160 vu: ml
id: PO/Gastric In Total t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU cv: 100 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 18/02/2016] el: 3 cg: RN cu: CSRU cv: 100 ac: 24 ap: none re: 0
id: Alarms t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Temp. Site t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd
id: Service Type t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Precautions t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [22:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml
id: IV Nutrition Total t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU cv: 1800 ac: 24 ap: none re: 0 id: IV Nutrition Total t0: [23:00:00 18/02/2016] el: 3 cg: RN cu: CSRU cv: 1800 ac: 24 ap: none re: 0
id: GI Prophylaxis t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: TPN st: NotStopd id: Eye Opening t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Abdominal Assessment t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Motor Response t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Assistance Device t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Therapeutic Bed t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [22:00:00 18/02/2016] el: 2 ai: 416 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [22:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: IV Infusion In Total t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU cv: 1040 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 18/02/2016] el: 3 cg: RN cu: CSRU cv: 1040 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU cv: 2940 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 18/02/2016] el: 3 cg: RN cu: CSRU cv: 2940 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 18/02/2016] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU cv: 2195 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 18/02/2016] el: 3 cg: RN cu: CSRU cv: 2195 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU cv: 740 ac: 24 ap: carryForward re: 0 id: 24h Net Body Balance t0: [23:00:00 18/02/2016] el: 3 cg: RN cu: CSRU cv: 740 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU cv: 8307.88 ac: multiple days ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 18/02/2016] el: 3 cg: RN cu: CSRU cv: 8307.88 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 18/02/2016] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU cv: 2200 ac: 24 ap: carryForward re: 0 id: 24h Total Out t0: [23:00:00 18/02/2016] el: 3 cg: RN cu: CSRU cv: 2200 ac: 24 ap: carryForward re: 0
pi: 4510922 hi: 27155 t0: [00:00:00 19/02/2016] tf: [23:00:00 19/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: calprevflg t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: INV Line#1 Type/Site t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1InsertDate t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 7 n2: 7 st: NotStopd id: INV Line#1SiteAppear t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV #1 Insert Date t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 7 n2: 7 st: NotStopd id: IV #1 Site/Size t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd
id: Pain Present t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: TPN st: NotStopd id: Ectopy Frequency t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: torr st: NotStopd id: GCS Total t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Activity t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Abdominal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Motor Response t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Position t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Urine Out Foley t0: [23:30:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: .9% Normal Saline 1000.0ml t0: [00:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: TPN 1000.0ml t0: [00:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 150 vu: ml id: Urine Out Foley t0: [00:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: Service Type t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Level of Conscious t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Dozing Intermit st: NotStopd id: NBP t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Precautions t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [01:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [01:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: Temp. Site t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd id: Behavior t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd
id: Gastric Meds t0: [01:00:00 19/02/2016] el: 1 ai: 155 cg: RN cu: CCU vo: 100 vu: ml
id: Pain Present t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Pain Management t0: [02:00:00 19/02/2016] el: 1 cg: RN cu: CCU v1: IV Push v2: Repositioned st: NotStopd id: Precautions t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [02:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [02:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 360 vu: ml
id: Service Type t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Diet Type t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: TPN st: NotStopd id: Ectopy Frequency t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Oral Cavity t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Precautions t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Urine Color/Appear t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [03:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [03:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Service Type t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Heart Rate t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: BPM st: NotStopd id: Precautions t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [04:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [04:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: INV Line#1 Type/Site t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 7 n2: 7 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV #1 Insert Date t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 7 n2: 7 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: O2 Delivery Device t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Service Type t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Heart Rate t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: BPM st: NotStopd id: Precautions t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: calprevflg t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ectopy Frequency t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rhythm t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Braden Activity t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [05:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [05:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: WBC (4-11,000) t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: WBC t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: Hematocrit t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 23.8 n1: 23.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.1 n1: 8.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 93 n1: 93 rs: Final st: NotStopd id: RBC t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.55 n1: 2.55 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd
id: BUN t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd id: Albumin t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Calcium t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 rs: Final st: NotStopd id: Creatinine t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 0.4 n1: 0.4 rs: Final st: NotStopd id: Glucose t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Magnesium t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Phosphorous t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd id: ALT t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 9 n1: 9 rs: Final st: NotStopd id: Albumin (>3.2) t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: BUN (6-20) t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 0.4 n1: 0.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd
id: PT t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.8 n1: 15.8 rs: Final st: NotStopd id: INR t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 40.8 n1: 40.8 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.8 n1: 15.8 rs: Final st: NotStopd id: PTT(22-35) t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 40.8 n1: 40.8 rs: Final st: NotStopd
id: Pain Present t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Pain Location t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Pain Management t0: [06:00:00 19/02/2016] el: 1 cg: RN cu: CCU v1: IV Push st: NotStopd id: Precautions t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 19/02/2016] 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 19/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: Deg. F st: NotStopd id: calprevflg t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [00:00:00 19/02/2016] el: 2 ai: 416 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [06:00:00 19/02/2016] el: 2 ai: 416 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [06:00:00 19/02/2016] el: 1 ai: 155 cg: RN cu: CCU vo: 100 vu: ml id: TPN 1000.0ml t0: [06:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [06:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Differential-Bands t0: [04:52:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd
id: Pain Present t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 19/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: TPN st: NotStopd id: Ectopy Frequency t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Learner t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Health Care Proxy t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 7 n2: 7 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 7 n2: 7 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Incision/Wound #1 t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Abdominal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Non-Rebreather st: NotStopd id: O2 Delivery Device t0: [08:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: O2 Delivery Device t0: [08:20:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Non-Rebreather st: NotStopd id: O2 Delivery Device t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [08:20:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Assistance Device t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [08:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: % st: NotStopd id: SpO2 t0: [08:20:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
pi: 4512053 hi: 27155 t0: [11:00:00 19/02/2016] tf: [09:00:00 20/02/2016] pt: TPN st: Discontinued pi: 4512091 hi: 27155 t0: [11:00:00 19/02/2016] tf: [10:00:00 20/02/2016] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4512092 hi: 27155 t0: [11:00:00 19/02/2016] tf: [10:00:00 20/02/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4512093 hi: 27155 t0: [11:00:00 19/02/2016] tf: [10:00:00 20/02/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [09:00:00 19/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: TPN 1000.0ml t0: [08:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 150 vu: ml id: TPN 1000.0ml t0: [10:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 150 vu: ml id: Urine Out Foley t0: [08:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 180 vu: ml id: Urine Out Foley t0: [10:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 220 vu: ml
id: PO/Gastric In Total t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU cv: 660 ac: 24 ap: none re: 0
id: Service Type t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 19/02/2016] 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 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: Previous WeightF t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 19/02/2016] 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 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [11:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [11:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 380 vu: ml
id: IV Infusion In Total t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU pv: 10 cv: 1050 ac: 24 ap: none re: 0 id: IV Nutrition Total t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU pv: 75 cv: 1875 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU pv: 85 cv: 3585 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU pv: 190 cv: 190 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU pv: 190 cv: 4355 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU pv: -105 cv: -780 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU pv: -105 cv: 7527.88 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU pv: -105 cv: -105 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU pv: 190 cv: 4365 ac: 24 ap: none re: 0
id: Service Type t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Precautions t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 78.7 n1: 78.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 19/02/2016] 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 19/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Temperature C (calc) t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: calprevflg t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Level t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 6-Mod to Severe st: NotStopd id: Pain Level t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Level t0: [14:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 7-Mod to Severe st: NotStopd id: Pain Level/Response t0: [10:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Level/Response t0: [12:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Present t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Present t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Present t0: [14:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: PainLevel Acceptable t0: [10:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: PainLevel Acceptable t0: [12:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP t0: [14:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Pain Cause t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Situational st: NotStopd id: Pain Cause t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Situational st: NotStopd id: Pain Cause t0: [14:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Situational st: NotStopd id: Pain Level (Rest) t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 6-Mod to Severe st: NotStopd id: Pain Level (Rest) t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Level (Rest) t0: [14:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 7-Mod to Severe st: NotStopd id: Pain Location t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Pain Location t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Pain Location t0: [14:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Pain Management t0: [10:00:00 19/02/2016] el: 1 cg: RN cu: CCU v1: IV Push st: NotStopd id: Pain Management t0: [12:00:00 19/02/2016] el: 1 cg: RN cu: CCU v1: IV Push st: NotStopd id: Pain Management t0: [14:30:00 19/02/2016] el: 1 cg: RN cu: CCU v1: IV Push st: NotStopd id: Pain Type t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Constant st: NotStopd id: Pain Type t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Constant st: NotStopd id: Pain Type t0: [14:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Constant st: NotStopd id: Precautions t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 19/02/2016] 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: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: calprevflg t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: O2 Delivery Device t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: TPN 1000.0ml t0: [12:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: TPN 1000.0ml t0: [14:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 150 vu: ml id: Urine Out Foley t0: [12:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 230 vu: ml
id: IV #1 Reason DC'D t0: [15:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 D/C Date t0: [15:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 Insert Date t0: [15:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 Site/Size t0: [15:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Insert Date t0: [15:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Site/Size t0: [15:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #1 t0: [15:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #2 t0: [15:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: GI Prophylaxis t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: TPN st: NotStopd id: Eye Opening t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: Abdominal Assessment t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Imp Skin Cleanse #1 t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Incision/Wound #1 t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Abdominal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: RLL Lung Sounds t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Side Rails t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Urine Color/Appear t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Behavior t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Confused st: NotStopd id: Bowel Sounds t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [12:00:00 19/02/2016] el: 2 ai: 416 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [15:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [13:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 180 vu: ml id: Urine Out Foley t0: [14:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 220 vu: ml id: Urine Out Foley t0: [15:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: FiO2 Set t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: FiO2 Set t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: FiO2 Set t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: FiO2 Set t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: HOB t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Activity Tolerance t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: O2 Delivery Device t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Po Intake t0: [13:00:00 19/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 240 vu: ml
id: Service Type t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 19/02/2016] 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: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Temp. Site t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: GI Prophylaxis t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: TPN st: NotStopd id: Eye Opening t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1InsertDate t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Assistance Device t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 9 n2: 9 st: NotStopd id: RLL Lung Sounds t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Skin Care t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#1 Cap Change t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 9 n2: 9 st: NotStopd id: Therapeutic Bed t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Source t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Back Care t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Bowel Sounds t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [16:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: TPN 1000.0ml t0: [17:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [16:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: Urine Out Foley t0: [17:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Service Type t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 19/02/2016] 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 19/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4513818 hi: 27155 t0: [19:00:00 19/02/2016] tf: [18:00:00 19/02/2016] mn: Haloperidol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: HS:PRN di: Ongoing xv: 36 xu: Hours pi: 4513901 hi: 27155 t0: [19:00:00 19/02/2016] tf: [19:00:00 25/02/2016] mn: Haloperidol pt: Unit Dose st: Discontinued rt: PO fr: HS:PRN di: Ongoing xv: 36 xu: Hours pi: 4513902 hi: 27155 t0: [19:00:00 19/02/2016] tf: [09:00:00 21/02/2016] mn: Lactulose pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q8H:PRN di: Ongoing xv: 36 xu: Hours
id: Blood Products t0: [18:44:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: Y rs: Final st: NotStopd
id: Service Type t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [18:00:00 19/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [18:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [18:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: PO/Gastric In Total t0: [23:00:00 19/02/2016] el: 3 cg: RN cu: CSRU cv: 660 ac: 24 ap: none re: 0
id: Service Type t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: calprevflg t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [18:00:00 19/02/2016] el: 2 ai: 416 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [19:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [19:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: D5W 100.0ml t0: [19:00:00 19/02/2016] el: 2 ai: 416 cg: RN cu: CCU vo: 100 vu: ml id: Drain Out #1 Jackson Pratt t0: [18:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 10 vu: ml
id: Drain #1 Total Out t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU cv: 10 ac: 24 ap: none re: 0 id: Drain #1 Total Out t0: [23:00:00 19/02/2016] el: 3 cg: RN cu: CSRU cv: 10 ac: 24 ap: none re: 0
id: FiO2 Set t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: O2 Delivery Device t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device#2 t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd
pi: 4514294 hi: 27155 t0: [21:00:00 19/02/2016] tf: [23:00:00 19/02/2016] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Level t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8-Severe st: NotStopd id: Pain Present t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 19/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Pain Cause t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Situational st: NotStopd id: Pain Level (Rest) t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8-Severe st: NotStopd id: Pain Location t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Left Foot st: NotStopd id: Pain Management t0: [20:00:00 19/02/2016] el: 1 cg: RN cu: CCU v1: IV Push st: NotStopd id: Pain Type t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Constant st: NotStopd id: Precautions t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Diet Type t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: TPN st: NotStopd id: Eye Opening t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Incision/Wound #1 t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Abdominal st: NotStopd id: Level of Conscious t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Assistance Device t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 9 n2: 9 st: NotStopd id: Respiratory Pattern t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Side Rails t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: INV#1 Cap Change t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 9 n2: 9 st: NotStopd id: Therapeutic Bed t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Behavior t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Confused st: NotStopd
id: D5W 100.0ml t0: [20:00:00 19/02/2016] el: 2 ai: 416 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [20:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [20:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 220 vu: ml
id: Service Type t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [21:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [21:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 65 vu: ml
id: O2 Delivery Device t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device#2 t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd
id: Abdominal Assessment t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Oral Cavity t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: RLL Lung Sounds t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Bowel Sounds t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Service Type t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: calprevflg t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: bath t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: DONE id: Eye Care t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: O2 Delivery Device t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device#2 t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device#2 t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Management t0: [21:00:00 19/02/2016] el: 1 cg: RN cu: CCU v1: Repositioned v2: Backrub st: NotStopd id: Skin Care t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [22:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml
id: ImpSkin Treatment #1 t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [23:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [23:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 190 vu: ml
id: IV Nutrition Total t0: [23:00:00 19/02/2016] el: 3 cg: RN cu: CSRU pv: 75 cv: 1875 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 19/02/2016] el: 3 cg: RN cu: CSRU pv: 190 cv: 190 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 19/02/2016] el: 3 cg: RN cu: CSRU pv: 190 cv: 4355 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 19/02/2016] el: 3 cg: RN cu: CSRU pv: 190 cv: 4365 ac: 24 ap: none re: 0
id: D5W 100.0ml t0: [22:00:00 19/02/2016] el: 2 ai: 416 cg: RN cu: CCU vo: 150 vu: ml
id: IV Infusion In Total t0: [23:00:00 19/02/2016] el: 3 cg: RN cu: CSRU pv: 10 cv: 1050 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 19/02/2016] el: 3 cg: RN cu: CSRU pv: 85 cv: 3585 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 19/02/2016] el: 3 cg: RN cu: CSRU pv: -105 cv: -780 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 19/02/2016] el: 3 cg: RN cu: CSRU pv: -105 cv: 7527.88 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 19/02/2016] el: 3 cg: RN cu: CSRU pv: -105 cv: -105 ac: 1 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: Pain Present t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 20/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: TPN st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sanguinous v2: Small st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Incision/Wound #1 t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Abdominal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device#2 t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Pain Cause t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Right Foot st: NotStopd id: Pain Management t0: [00:00:00 20/02/2016] el: 1 cg: RN cu: CCU v1: IV Push v2: Repositioned st: NotStopd id: Pain Type t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 9 n2: 9 st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 50 n2: 50 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: INV#1 Cap Change t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Confused st: NotStopd id: Bowel Sounds t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [00:00:00 20/02/2016] el: 2 ai: 416 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [00:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [00:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Service Type t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device#2 t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Precautions t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 50 n2: 50 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [01:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [01:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Service Type t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 50 n2: 50 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [02:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [02:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Pain Present t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: TPN st: NotStopd id: Ectopy Frequency t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Activity t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Incision/Wound #1 t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Abdominal st: NotStopd id: Level of Conscious t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: NBP t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Pain Location t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 50 n2: 50 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Side Rails t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [03:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [03:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Service Type t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 50 n2: 50 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 50 n2: 50 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: calprevflg t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [04:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: TPN 1000.0ml t0: [05:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: TPN 1000.0ml t0: [06:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [04:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [05:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [06:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Less Restrict Meas. t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: Less Restrict Meas. t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: Pain Present t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Diet Type t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: TPN st: NotStopd id: Eye Opening t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: INV Line#1 Type/Site t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1InsertDate t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Incision/Wound #1 t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Abdominal st: NotStopd id: LLL Lung Sounds t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device#2 t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Pain Cause t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Right Foot st: NotStopd id: Pain Management t0: [06:00:00 20/02/2016] el: 1 cg: RN cu: CCU v1: IV Push v2: Repositioned st: NotStopd id: Pain Type t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: INV#1 Dsg Change t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 9 n2: 9 st: NotStopd id: RLL Lung Sounds t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Side Rails t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: INV#1 Cap Change t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 9 n2: 9 st: NotStopd id: Urine Color/Appear t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Behavior t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd
id: Service Type t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 50 n2: 50 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: NBP t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd
id: WBC (4-11,000) t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: WBC t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Hematocrit t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 23.4 n1: 23.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 89 n1: 89 rs: Final st: NotStopd id: RBC t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.47 n1: 2.47 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd
id: Drain Out #1 Jackson Pratt t0: [06:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 10 vu: ml
id: Drain #1 Total Out t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU cv: 15 ac: 24 ap: none re: 0
id: D5W 100.0ml t0: [05:00:00 20/02/2016] el: 2 ai: 416 cg: RN cu: CCU vo: 100 vu: ml
id: BUN t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 9 n1: 9 rs: Final st: NotStopd id: Albumin t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Calcium t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 0.4 n1: 0.4 rs: Final st: NotStopd id: Glucose t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Magnesium t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd id: ALT t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Albumin (>3.2) t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: BUN (6-20) t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 9 n1: 9 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 0.4 n1: 0.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd
id: PT t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: INR t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 43.3 n1: 43.3 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: PTT(22-35) t0: [05:15:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 43.3 n1: 43.3 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: Less Restrict Meas. t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: Range of Motion t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Incision/Wound #1 t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Abdominal st: NotStopd id: Incision/Wound #1 t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Abdominal st: NotStopd id: Position Change t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd
id: Gastric Meds t0: [08:00:00 20/02/2016] el: 1 ai: 155 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: Range of Motion t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: TPN st: NotStopd id: Ectopy Frequency t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: FiO2 Set t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: GCS Total t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Incision/Wound #1 t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Abdominal st: NotStopd id: Level of Conscious t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device#2 t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device#2 t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Position Change t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 9 n2: 9 st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 50 n2: 50 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 50 n2: 50 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: INV#1 Cap Change t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 9 n2: 9 st: NotStopd id: Therapeutic Bed t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd
id: Po Intake t0: [08:00:00 20/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: TPN 1000.0ml t0: [08:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 150 vu: ml id: Urine Out Foley t0: [08:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: PO/Gastric In Total t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU cv: 320 ac: 24 ap: none re: 0
id: Pain Level t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8-Severe st: NotStopd id: Pain Present t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: bath t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: done id: Service Type t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: TPN st: NotStopd id: Ectopy Frequency t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Care t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Incision/Wound #1 t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Abdominal st: NotStopd id: LLL Lung Sounds t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device#2 t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) #2 t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Oral Care t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Pain Cause t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8-Severe st: NotStopd id: Pain Location t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Right Foot st: NotStopd id: Pain Type t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Constant st: NotStopd id: Position t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 50 n2: 50 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Side Rails t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Back Care t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Braden Activity t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [09:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [09:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 130 vu: ml
id: NBP t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd
pi: 4515847 hi: 27155 t0: [10:00:00 20/02/2016] pt: TPN st: Expired
id: Less Restrict Meas. t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: Pain Level t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8-Severe st: NotStopd id: Pain Level/Response t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Unable to score st: NotStopd id: Pain Present t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Range of Motion t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: TPN st: NotStopd id: Ectopy Frequency t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: GCS Total t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1InsertDate t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Incision/Wound #1 t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Abdominal st: NotStopd id: Level of Conscious t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device#2 t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Pain Cause t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8-Severe st: NotStopd id: Pain Location t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Right Foot st: NotStopd id: Pain Type t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Constant st: NotStopd id: Position t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 9 n2: 9 st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 20/02/2016] 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 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 50 n2: 50 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 50 n2: 50 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 20/02/2016] 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 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: INV#1 Cap Change t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 9 n2: 9 st: NotStopd id: Therapeutic Bed t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Restless st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: TPN 1000.0ml t0: [11:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 150 vu: ml id: Urine Out Foley t0: [11:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 220 vu: ml
id: NBP t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd
id: Pain Level/Response t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Unable to score st: NotStopd id: Service Type t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: TPN st: NotStopd id: Ectopy Frequency t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: FiO2 Set t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Heart Rate t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Incision/Wound #1 t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Abdominal st: NotStopd id: Level of Conscious t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: NBP t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device#2 t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Precautions t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 50 n2: 50 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Urine Color/Appear t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [12:00:00 20/02/2016] el: 2 ai: 416 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [12:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [12:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Temp. Site t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd
id: HOB t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Activity t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Position t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd
id: Service Type t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: TPN st: NotStopd id: Ectopy Frequency t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Incision/Wound #1 t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Abdominal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: Level of Conscious t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: NBP t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: O2 Delivery Device#2 t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) #2 t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Precautions t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 50 n2: 50 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 20/02/2016] 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 20/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Respiratory Pattern t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Side Rails t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Urine Source t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [13:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [13:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 95 vu: ml
id: Service Type t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: O2 Delivery Device#2 t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) #2 t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Precautions t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 50 n2: 50 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 20/02/2016] 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 20/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [14:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml
id: Service Type t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 20/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 20/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [15:00:00 20/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: TPN st: NotStopd id: Ectopy Frequency t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1InsertDate t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Impaired Skin Site#1 t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Incision/Wound #1 t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Abdominal st: NotStopd id: Level of Conscious t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: NBP t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: O2 Delivery Device#2 t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) #2 t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Precautions t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 9 n2: 9 st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 50 n2: 50 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Side Rails t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: INV#1 Cap Change t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 9 n2: 9 st: NotStopd id: Urine Source t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [15:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [15:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 310 vu: ml
id: Service Type t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: O2 Delivery Device#2 t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: Precautions t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 50 n2: 50 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Alarms t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [16:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [16:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 155 vu: ml
id: Pain Level t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 9-Severe-Worst st: NotStopd id: Pain Present t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Riker-SAS Scale t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 20/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: TPN st: NotStopd id: Eye Care t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: GCS Total t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: HOB t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Incision/Wound #1 t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Abdominal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Level of Conscious t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Pain Cause t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 9-Severe-Worst st: NotStopd id: Pain Location t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Right Foot st: NotStopd id: Pain Type t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Constant st: NotStopd id: Position t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Respiratory Pattern t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Side Rails t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Stool Guaiac t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Temp. Site t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Behavior t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Bowel Sounds t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [17:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml
id: Service Type t0: [16:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [16:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [16:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Precautions t0: [16:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 50 n2: 50 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [16:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [16:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Drain Out #1 Jackson Pratt t0: [16:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 5 vu: ml
id: Drain #1 Total Out t0: [23:00:00 20/02/2016] el: 3 cg: RN cu: CSRU cv: 15 ac: 24 ap: none re: 0
id: Service Type t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 50 n2: 50 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 20/02/2016] 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 20/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Range of Motion t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV Line#1 Type/Site t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#1InsertDate t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Impaired Skin Site#1 t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Incision/Wound #1 t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Abdominal st: NotStopd id: Position Change t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#1 Dsg Change t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 9 n2: 9 st: NotStopd id: Removed x 5 Mins t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 20/02/