Log for record 107cc

This log is also available as text (107cc.txt) and as a (binary) annotation file (107cc.log).

Generated: Thursday, 23-Apr-2009 00:34:50 EDT
(All dates below are surrogates.)

[13:34:00 25/02/2016] start prev next end

Chart Event

id: Service Type
t0: [13:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [13:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [13:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [13:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [13:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [13:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [13:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 93
n1: 93
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [13:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Arterial BP
t0: [13:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 105
n1: 105
u1: mmHg
v2: 65
n2: 65
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [13:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 79
n1: 79
u1: mmHg
st: NotStopd

id: Precautions
t0: [13:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [13:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [13:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [13:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [13:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [13:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 16
n1: 16
u1: BPM
st: NotStopd

id: SpO2
t0: [13:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: %
st: NotStopd

id: calprevflg
t0: [13:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [13:00:00 25/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 5
vu: ml

id: TPN 1000.0ml
t0: [13:00:00 25/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [13:00:00 25/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 12
vu: ml

id: Urine Out Foley
t0: [13:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 250
vu: ml

id: .9% Normal Saline 50.0ml + 50mghr Midazolam
t0: [13:00:00 25/02/2016]
el: 1
ai: 274
cg: RN
cu: CSRU
vo: 3
vu: ml

Med Event

id: Fentanyl
t0: [13:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 120
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

id: Midazolam
t0: [13:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 3
du: mghr
so: .9% Normal Saline
sv: 50
su: ml
rt: IV Drip

[14:00:00 25/02/2016] start prev next end

Physician Order

pi: 4532685
hi: 27155
t0: [15:00:00 25/02/2016]
tf: [17:00:00 22/03/2016]
mn: Chlorhexidine Gluconate
pt: Unit Dose
st: Discontinued
rt: PO
fr: TID:PRN
di: Ongoing
xv: 36
xu: Hours

[14:29:00 25/02/2016] start prev next end

Chart Event

id: Service Type
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: HOB
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 45 degrees
st: NotStopd

id: Heart Rate
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 88
n1: 88
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Activity
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: Activity Tolerance
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: AntiEmbDevice/Status
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Arterial BP
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 109
n1: 109
u1: mmHg
v2: 66
n2: 66
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 81
n1: 81
u1: mmHg
st: NotStopd

id: Position
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Supine
st: NotStopd

id: Assistance Device
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 16
n1: 16
u1: BPM
st: NotStopd

id: Skin Care
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: SpO2
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 96
n1: 96
u1: %
st: NotStopd

id: Sputum Color/Consist
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: White
v2: Thick
st: NotStopd

id: Sputum Source/Amt
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Suctioned
v2: Moderate
st: NotStopd

id: Therapeutic Bed
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Side to Side
st: NotStopd

id: Back Care
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: calprevflg
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [14:00:00 25/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 100
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [14:00:00 25/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 5
vu: ml

id: TPN 1000.0ml
t0: [14:00:00 25/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [14:00:00 25/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 12
vu: ml

id: Urine Out Foley
t0: [14:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 250
vu: ml

id: .9% Normal Saline 50.0ml + 50mghr Midazolam
t0: [14:00:00 25/02/2016]
el: 1
ai: 274
cg: RN
cu: CSRU
vo: 3
vu: ml
st: Stopped

Med Event

id: Fentanyl
t0: [14:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 80
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

id: Midazolam
t0: [14:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 3
du: mghr
so: .9% Normal Saline
sv: 50
su: ml
rt: IV Drip
st: Stopped

[14:46:00 25/02/2016] start prev next end

Chart Event

id: Service Type
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: ETT Mark/Location
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 21cm
v2: Lip
st: NotStopd

id: Ectopy Frequency
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 111
n1: 111
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: Airway Size
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 7.5 mm
st: NotStopd

id: Airway Type
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Endotracheal
st: NotStopd

id: Intubation Date
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 11
n2: 11
st: NotStopd

id: Arterial BP
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 139
n1: 139
u1: mmHg
v2: 86
n2: 86
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 104
n1: 104
u1: mmHg
st: NotStopd

id: Precautions
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 23
n1: 23
u1: BPM
st: NotStopd

id: SpO2
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 99
n1: 99
u1: %
st: NotStopd

id: Sputum Color/Consist
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: White
v2: Frothy
st: NotStopd

id: Sputum Source/Amt
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Suctioned
v2: Moderate
st: NotStopd

id: Ventilator Type
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Drager
st: NotStopd

id: calprevflg
t0: [15:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [15:00:00 25/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 5
vu: ml

id: TPN 1000.0ml
t0: [15:00:00 25/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [15:00:00 25/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 8
vu: ml

id: Urine Out Foley
t0: [15:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 120
vu: ml

Med Event

id: Fentanyl
t0: [15:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 80
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[15:00:00 25/02/2016] start prev next end

Physician Order

pi: 4532954
hi: 27155
t0: [16:00:00 25/02/2016]
tf: [10:00:00 03/03/2016]
mn: Sulfameth/Trimethoprim
pt: IV Piggyback
st: Discontinued
rt: IV
fr: Q12H
ds: 16, 4
dn: 2
di: Ongoing
xu: Enter on Label

pi: 4532956
hi: 27155
t0: [16:00:00 25/02/2016]
tf: [18:00:00 02/03/2016]
mn: Midazolam
pt: Unit Dose
st: Discontinued
rt: IV
fr: Q2H:PRN
di: Ongoing
xv: 36
xu: Hours

pi: 4532957
hi: 27155
t0: [16:00:00 25/02/2016]
tf: [18:00:00 02/03/2016]
mn: Midazolam
pt: Unit Dose
st: Discontinued
rt: IV
fr: Q2H:PRN
di: Ongoing
xv: 36
xu: Hours

pi: 4532958
hi: 27155
t0: [16:00:00 25/02/2016]
tf: [16:00:00 25/02/2016]
mn: Fentanyl Citrate
pt: Unit Dose
st: Discontinued
rt: IV
fr: Q4H:PRN
di: Ongoing
xv: 36
xu: Hours

pi: 4532959
hi: 27155
t0: [16:00:00 25/02/2016]
tf: [16:00:00 25/02/2016]
mn: Midazolam
pt: Unit Dose
st: Discontinued
rt: IV
fr: Q4H:PRN
di: Ongoing
xv: 36
xu: Hours

[15:07:00 25/02/2016] start prev next end

Chart Event

id: Extubation Date
t0: [15:10:00 25/02/2016]
el: 0
cg: RT
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: FiO2 Set
t0: [15:10:00 25/02/2016]
el: 0
cg: RT
cu: CSRU
v1: 0.5
n1: 0.5
u1: torr
st: NotStopd

id: Intubation Date
t0: [15:10:00 25/02/2016]
el: 0
cg: RT
cu: CSRU
v1: 2
n1: 2
v2: 11
n2: 11
st: NotStopd

id: O2 Delivery Device
t0: [15:10:00 25/02/2016]
el: 0
cg: RT
cu: CSRU
v1: Aerosol-Cool
st: NotStopd

[15:27:00 25/02/2016] start prev next end

I/O Event

id: Stool Out Stool
t0: [15:30:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vu: ml
es: Large

id: Drain Out #1 Jackson Pratt
t0: [08:30:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 5
vu: ml

[16:00:00 25/02/2016] start prev next end

Physician Order

pi: 4533183
hi: 27155
t0: [17:00:00 25/02/2016]
tf: [18:00:00 28/02/2016]
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: 4533350
hi: 27155
t0: [17:00:00 25/02/2016]
tf: [19:00:00 27/02/2016]
mn: Lorazepam
pt: Unit Dose
st: Inactive (Due to a change order)
rt: IV
fr: Q4H:PRN
di: Ongoing
xv: 36
xu: Hours

[16:32:00 25/02/2016] start prev next end

Chart Event

id: Service Type
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Calm/Cooperative
st: NotStopd

id: Risk for Falls
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Alarms
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: ON
st: NotStopd

id: Parameters Checked
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 92
n1: 92
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Arterial BP
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 130
n1: 130
u1: mmHg
v2: 77
n2: 77
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 95
n1: 95
u1: mmHg
st: NotStopd

id: Precautions
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 18
n1: 18
u1: BPM
st: NotStopd

id: SpO2
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: %
st: NotStopd

id: calprevflg
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

Med Event

id: Fentanyl
t0: [16:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 80
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[16:52:00 25/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Less Restrict Meas.
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Pain Present
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: No
st: NotStopd

id: Range of Motion
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Range of Motion
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Pain Assess Method
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pt Verbalized
st: NotStopd

id: PainLevel Acceptable
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Service Type
t0: [17:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Circulation/SkinInt
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [17:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Daily Wake Up
t0: [16:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
v1: No/Not Sedated
st: NotStopd

id: Risk for Falls
t0: [17:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Diet Type
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: TPN
st: NotStopd

id: Dorsal PedPulse R/L
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Ectopy Frequency
t0: [17:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [17:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Education Barrier
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Education Handout
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Not Given
st: NotStopd

id: Education Learner
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Patient
st: NotStopd

id: Education Method
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Explanation
st: NotStopd

id: GI#1 Intub Site
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Salem Sump
v2: Right Nare
st: NotStopd

id: Education Readiness
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [17:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Response
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Understands
st: NotStopd

id: Education Topic #1
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Activity
st: NotStopd

id: Education Topic #1
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Activity
st: NotStopd

id: Education Topic #2
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Plan of Care
st: NotStopd

id: Eye Opening
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Spontaneously
st: NotStopd

id: Family Communication
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Family Called
st: NotStopd

id: Follows Commands
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Inconsistently
st: NotStopd

id: GCS Total
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 15
n1: 15
u1: points
st: NotStopd

id: GI Intub #1/Site
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Salem Sump
v2: Right Nare
st: NotStopd

id: GI#1 Tube PlaceCheck
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: GI#1 Tube Stat/Drain
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clamped
st: NotStopd

id: HOB
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 45 degrees
st: NotStopd

id: Heart Rate
t0: [17:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 95
n1: 95
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [17:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: INV Line#2 Type/Site
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: A-Line
v2: Right Radial
st: NotStopd

id: INV Line#2 Zero/Cal
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: No
st: NotStopd

id: INV Line#2InsertDate
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 11
n2: 11
st: NotStopd

id: INV Line#2SiteAppear
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: INV Line#4 Type/Site
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Multi-lumen
v2: Left Subclavian
st: NotStopd

id: INV Line#4InsertDate
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 12
n2: 12
st: NotStopd

id: INV Line#4SiteAppear
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Redness
st: NotStopd

id: Abdominal Assessment
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft
st: NotStopd

id: INV#2 WaveformAppear
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sharp
st: NotStopd

id: IV #1 Insert Date
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 14
n2: 14
st: NotStopd

id: IV #1 Site/Size
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Hand
v2: 20 gauge
st: NotStopd

id: IV #4 Insert Date
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 13
n2: 13
st: NotStopd

id: IV #4 Site/Size
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: LL Post Forearm
v2: 20 gauge
st: NotStopd

id: Activity
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: IV Site Appear #1
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: IV Site Appear #4
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: Activity Tolerance
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: Impaired Skin Site#1
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Impaired Skin Site#1
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Incision/Wound #1
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: Incision/Wound #1
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: LL Strength/Movement
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Moves on Bed
st: NotStopd

id: LLL Lung Sounds
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: LU Strength/Movement
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: LUL Lung Sounds
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: Level of Conscious
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Alert
st: NotStopd

id: Motor Response
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 6 Obeys Commands
st: NotStopd

id: Oral Cavity
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Teeth/Tissue WNL
st: NotStopd

id: Orientation
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oriented x 3
st: NotStopd

id: AntiEmbDevice/Status
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Arterial BP
t0: [17:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 142
n1: 142
u1: mmHg
v2: 86
n2: 86
u2: mmHg
st: NotStopd

id: Pain Location
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Not Indicated
st: NotStopd

id: Pain Type
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Arterial BP Mean
t0: [17:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 105
n1: 105
u1: mmHg
st: NotStopd

id: Position
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Supine
st: NotStopd

id: Position Change
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Position Change
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Assistance Device
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [17:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: INV#2 Dsg Change
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Dsg Change
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [17:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [17:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [17:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [17:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: RL Strength/Movement
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Moves on Bed
st: NotStopd

id: RLL Lung Sounds
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: RU Strength/Movement
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: RUL Lung Sounds
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: Reason For Restraint
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Reason For Restraint
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Removed x 5 Mins
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Pattern
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [17:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 11
n1: 11
u1: BPM
st: NotStopd

id: Responds to Stimuli
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: Restraint Location
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Location
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraint Type
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Restraints Evaluated
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Side Rails
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Side Rails
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: SpO2
t0: [17:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 99
n1: 99
u1: %
st: NotStopd

id: Spontaneous Movement
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purposeful
st: NotStopd

id: Support Systems
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: Support Systems
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: INV#2 Cap Change
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#2 Tubing Change
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Cap Change
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Tubing Change
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: Temp. Site
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Axillary
st: NotStopd

id: Temperature C (calc)
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 36.3333
n1: 36.3333
u1: Deg. C
st: NotStopd

id: Temperature F
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97.4
n1: 97.4
u1: Deg. F
st: NotStopd

id: Therapeutic Bed
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Side to Side
st: NotStopd

id: Urine Color/Appear
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yellow
v2: Clear
st: NotStopd

id: Urine Source
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Indwelling Cath
st: NotStopd

id: Verbal Response
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 5 Oriented
st: NotStopd

id: Back Care
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: calprevflg
t0: [17:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Behavior
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Calm
st: NotStopd

id: Pt./Family Informed
t0: [14:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Pt./Family Informed
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Bowel Sounds
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Present
st: NotStopd

id: Braden Activity
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedfast
st: NotStopd

id: Braden Frict/Shear
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Problem
st: NotStopd

id: Braden Mobility
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Very Limited
st: NotStopd

id: Braden Moisture
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Occ. Moist
st: NotStopd

id: Braden Nutrition
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Adequate
st: NotStopd

id: Braden Score
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 13
n1: 13
u1: number
st: NotStopd

id: Braden SensoryPercep
t0: [16:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sl. Limited
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [17:00:00 25/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [17:00:00 25/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 150
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [17:00:00 25/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 16
vu: ml

id: Urine Out Foley
t0: [17:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 220
vu: ml

Med Event

id: Fentanyl
t0: [17:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 80
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[17:09:00 25/02/2016] start prev next end

I/O Event

id: Stool Out Stool
t0: [14:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vu: ml
es: Large

[18:08:00 25/02/2016] start prev next end

Chart Event

id: Service Type
t0: [18:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [18:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [18:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [18:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [18:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [18:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [18:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 95
n1: 95
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [18:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Arterial BP
t0: [18:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 138
n1: 138
u1: mmHg
v2: 81
n2: 81
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [18:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 99
n1: 99
u1: mmHg
st: NotStopd

id: Precautions
t0: [18:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [18:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [18:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [18:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [18:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Radiologic Study
t0: [18:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Chest Xray
st: NotStopd

id: Respiratory Rate
t0: [18:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 19
n1: 19
u1: BPM
st: NotStopd

id: SpO2
t0: [18:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: %
st: NotStopd

id: calprevflg
t0: [18:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Fingerstick Glucose
t0: [18:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 93
n1: 93
rs: Manual
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [18:00:00 25/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 5
vu: ml

id: TPN 1000.0ml
t0: [18:00:00 25/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [18:00:00 25/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 8
vu: ml

Med Event

id: Fentanyl
t0: [18:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 80
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[18:24:00 25/02/2016] start prev next end

I/O Event

id: D5W 100.0ml
t0: [18:00:00 25/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 100
vu: ml

id: Urine Out Foley
t0: [18:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 65
vu: ml

[19:00:00 25/02/2016] start prev next end

Physician Order

pi: 4534067
hi: 27155
t0: [20:00:00 25/02/2016]
tf: [12:00:00 01/03/2016]
mn: Haloperidol
pt: Unit Dose
st: Inactive (Due to a change order)
rt: IV
fr: Q4H:PRN
di: Ongoing
xv: 36
xu: Hours

[19:15:00 25/02/2016] start prev next end

Chart Event

id: Service Type
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: HOB
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 45 degrees
st: NotStopd

id: Heart Rate
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 99
n1: 99
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Activity
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: Activity Tolerance
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: AntiEmbDevice/Status
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Arterial BP
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 146
n1: 146
u1: mmHg
v2: 84
n2: 84
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 105
n1: 105
u1: mmHg
st: NotStopd

id: Position
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Left Side
st: NotStopd

id: Assistance Device
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 17
n1: 17
u1: BPM
st: NotStopd

id: Skin Care
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: SpO2
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 99
n1: 99
u1: %
st: NotStopd

id: Therapeutic Bed
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Side to Side
st: NotStopd

id: Back Care
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: calprevflg
t0: [19:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [19:00:00 25/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 5
vu: ml

id: TPN 1000.0ml
t0: [19:00:00 25/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [19:00:00 25/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 8
vu: ml

id: Stool Out Stool
t0: [19:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vu: ml
es: Large

id: Urine Out Foley
t0: [19:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 220
vu: ml

id: Drain Out #1 Jackson Pratt
t0: [16:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 10
vu: ml

Med Event

id: Fentanyl
t0: [19:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 80
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[19:51:00 25/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Pain Present
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Range of Motion
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Pain Assess Method
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pt Verbalized
st: NotStopd

id: Service Type
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Agitated
st: NotStopd

id: Daily Wake Up
t0: [20:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
v1: No/Not Sedated
st: NotStopd

id: Risk for Falls
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Diet Type
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: TPN
st: NotStopd

id: Dorsal PedPulse R/L
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Ectopy Frequency
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Alarms
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: ON
st: NotStopd

id: Parameters Checked
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Barrier
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Education Handout
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Not Given
st: NotStopd

id: Education Learner
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Patient
st: NotStopd

id: Education Method
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Explanation
st: NotStopd

id: GI#1 Intub Site
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Salem Sump
v2: Right Nare
st: NotStopd

id: Education Readiness
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Response
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Reinforced
st: NotStopd

id: Education Topic #1
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Activity
st: NotStopd

id: Extubation Date
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: Eye Opening
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Spontaneously
st: NotStopd

id: FiO2 Set
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 0.5
n1: 0.5
u1: torr
st: NotStopd

id: Follows Commands
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Inconsistently
st: NotStopd

id: GCS Total
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 15
n1: 15
u1: points
st: NotStopd

id: GI Intub #1/Site
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Salem Sump
v2: Right Nare
st: NotStopd

id: GI#1 Tube PlaceCheck
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: GI#1 Tube Stat/Drain
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clamped
st: NotStopd

id: HOB
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 30 degrees
st: NotStopd

id: Heart Rate
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 101
n1: 101
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: INV Line#2 Type/Site
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: A-Line
v2: Right Radial
st: NotStopd

id: INV Line#2 Zero/Cal
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: INV Line#2InsertDate
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 11
n2: 11
st: NotStopd

id: INV Line#2SiteAppear
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: INV Line#4 Type/Site
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Multi-lumen
v2: Left Subclavian
st: NotStopd

id: INV Line#4InsertDate
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 12
n2: 12
st: NotStopd

id: INV Line#4SiteAppear
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Redness
st: NotStopd

id: Abdominal Assessment
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft
st: NotStopd

id: INV#2 WaveformAppear
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sharp
st: NotStopd

id: IV #1 Insert Date
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 14
n2: 14
st: NotStopd

id: IV #1 Site/Size
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Hand
v2: 20 gauge
st: NotStopd

id: IV #4 Insert Date
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 13
n2: 13
st: NotStopd

id: IV #4 Site/Size
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: LL Post Forearm
v2: 20 gauge
st: NotStopd

id: Activity
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: IV Site Appear #1
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: IV Site Appear #4
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: Activity Tolerance
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: ImpSkin Treatment #1
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Duoderm
st: NotStopd

id: Impaired Skin Site#1
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Inc Dsg/Status #1
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Dry Sterile Dsg
st: NotStopd

id: Incision/Wound #1
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: Intubation Date
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 11
n2: 11
st: NotStopd

id: LL Strength/Movement
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Moves on Bed
st: NotStopd

id: LLL Lung Sounds
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: LU Strength/Movement
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: LUL Lung Sounds
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: Level of Conscious
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Alert
st: NotStopd

id: Motor Response
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 6 Obeys Commands
st: NotStopd

id: O2 Delivery Device
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Aerosol-Cool
st: NotStopd

id: Oral Cavity
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Teeth/Tissue WNL
st: NotStopd

id: Orientation
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oriented x 2
st: NotStopd

id: AntiEmbDevice/Status
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Arterial BP
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 136
n1: 136
u1: mmHg
v2: 80
n2: 80
u2: mmHg
st: NotStopd

id: Pain Management
t0: [20:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
v1: IV Gtt
st: NotStopd

id: Pain Type
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Aching
st: NotStopd

id: Arterial BP Mean
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 99
n1: 99
u1: mmHg
st: NotStopd

id: Position
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Supine
st: NotStopd

id: Position Change
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Assistance Device
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: INV#2 Dsg Change
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Dsg Change
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: RL Strength/Movement
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Moves on Bed
st: NotStopd

id: RLL Lung Sounds
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: RU Strength/Movement
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: RUL Lung Sounds
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: Reason For Restraint
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Pattern
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 14
n1: 14
u1: BPM
st: NotStopd

id: Responds to Stimuli
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: Restraint Location
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Side Rails
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: SpO2
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 95
n1: 95
u1: %
st: NotStopd

id: Spontaneous Movement
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purposeful
st: NotStopd

id: Support Systems
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: INV#2 Cap Change
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#2 Tubing Change
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Cap Change
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Tubing Change
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: Temp. Site
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oral
st: NotStopd

id: Temperature C (calc)
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 36.2222
n1: 36.2222
u1: Deg. C
st: NotStopd

id: Temperature F
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97.2
n1: 97.2
u1: Deg. F
st: NotStopd

id: Therapeutic Bed
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Side to Side
st: NotStopd

id: Urine Color/Appear
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yellow
v2: Clear
st: NotStopd

id: Urine Source
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Indwelling Cath
st: NotStopd

id: Ventilator Type
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Drager
st: NotStopd

id: Verbal Response
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 5 Oriented
st: NotStopd

id: calprevflg
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Behavior
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Agitated
st: NotStopd

id: Pt./Family Informed
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Bowel Sounds
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Present
st: NotStopd

id: Braden Activity
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedfast
st: NotStopd

id: Braden Frict/Shear
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Problem
st: NotStopd

id: Braden Mobility
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Very Limited
st: NotStopd

id: Braden Moisture
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Occ. Moist
st: NotStopd

id: Braden Nutrition
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Adequate
st: NotStopd

id: Braden Score
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 13
n1: 13
u1: number
st: NotStopd

id: Braden SensoryPercep
t0: [20:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sl. Limited
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [20:00:00 25/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 5
vu: ml

id: TPN 1000.0ml
t0: [20:00:00 25/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [20:00:00 25/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 8
vu: ml

id: Urine Out Foley
t0: [20:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 225
vu: ml

Med Event

id: Fentanyl
t0: [20:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 80
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[21:00:00 25/02/2016] start prev next end

Physician Order

pi: 4534398
hi: 27155
t0: [22:00:00 25/02/2016]
tf: [21:00:00 26/02/2016]
pt: IV Large Volume
st: Expired
rt: IV
fr: ASDIR
iv: 250 ml NS Bolus 250 ml Over 30 mins
it: B
dt: 1
di: Doses
xu: Enter on Label

[21:29:00 25/02/2016] start prev next end

Chart Event

id: Service Type
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Calm/Cooperative
st: NotStopd

id: Risk for Falls
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: FiO2 Set
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 0.5
n1: 0.5
u1: torr
st: NotStopd

id: HOB
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 30 degrees
st: NotStopd

id: Heart Rate
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 104
n1: 104
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: Activity
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: Activity Tolerance
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: NBP
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 94
n1: 94
u1: mmHg
v2: 62
n2: 62
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 70
n1: 70
u1: mmHg
st: NotStopd

id: O2 Delivery Device
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Aerosol-Cool
st: NotStopd

id: AntiEmbDevice/Status
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Arterial BP
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 106
n1: 106
u1: mmHg
v2: 69
n2: 69
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 82
n1: 82
u1: mmHg
st: NotStopd

id: Position
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Left Side
st: NotStopd

id: Assistance Device
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 16
n1: 16
u1: BPM
st: NotStopd

id: Skin Care
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: SpO2
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: %
st: NotStopd

id: Therapeutic Bed
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Side to Side
st: NotStopd

id: Back Care
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: calprevflg
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Behavior
t0: [21:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Calm
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [20:00:00 25/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 100
vu: ml

id: D5W 100.0ml
t0: [21:00:00 25/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 150
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [21:00:00 25/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 5
vu: ml

id: TPN 1000.0ml
t0: [21:00:00 25/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [21:00:00 25/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 8
vu: ml

id: Stool Out Stool
t0: [21:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vu: ml
es: Large

id: Urine Out Foley
t0: [21:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 325
vu: ml

Med Event

id: Fentanyl
t0: [21:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 70
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

Total I/O Event

id: Stool Out Total
t0: [23:00:00 25/02/2016]
el: 3
cg: RN
cu: CSRU
cv: 0
ac: 24
ap: carryForward
re: 0

[22:14:00 25/02/2016] start prev next end

Chart Event

id: Service Type
t0: [21:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Service Type
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [21:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Code Status
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [21:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Risk for Falls
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [21:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Frequency
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [21:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [21:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [21:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 108
n1: 108
u1: BPM
st: NotStopd

id: Heart Rate
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 114
n1: 114
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [21:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: Heart Rhythm
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: Level of Conscious
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sleeping
st: NotStopd

id: Arterial BP
t0: [21:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 96
n1: 96
u1: mmHg
v2: 65
n2: 65
u2: mmHg
st: NotStopd

id: Arterial BP
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 99
n1: 99
u1: mmHg
v2: 62
n2: 62
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [21:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 76
n1: 76
u1: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 73
n1: 73
u1: mmHg
st: NotStopd

id: Precautions
t0: [21:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: Precautions
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [21:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [21:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [21:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [21:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [21:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 17
n1: 17
u1: BPM
st: NotStopd

id: Respiratory Rate
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 17
n1: 17
u1: BPM
st: NotStopd

id: SpO2
t0: [21:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 96
n1: 96
u1: %
st: NotStopd

id: SpO2
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 96
n1: 96
u1: %
st: NotStopd

id: calprevflg
t0: [21:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: calprevflg
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [22:00:00 25/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 250
vu: ml

id: TPN 1000.0ml
t0: [22:00:00 25/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [22:00:00 25/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 7
vu: ml

id: Urine Out Foley
t0: [22:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 250
vu: ml

Med Event

id: Fentanyl
t0: [21:30:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 70
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[22:43:00 25/02/2016] start prev next end

Chart Event

id: Service Type
t0: [22:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [22:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [22:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [22:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [22:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [22:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [22:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 113
n1: 113
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [22:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: Arterial BP
t0: [22:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 91
n1: 91
u1: mmHg
v2: 56
n2: 56
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [22:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 68
n1: 68
u1: mmHg
st: NotStopd

id: Precautions
t0: [22:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [22:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [22:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [22:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [22:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [22:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 16
n1: 16
u1: BPM
st: NotStopd

id: SpO2
t0: [22:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 96
n1: 96
u1: %
st: NotStopd

id: Temp. Site
t0: [22:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Axillary
st: NotStopd

id: Temperature C (calc)
t0: [22:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 37.1111
n1: 37.1111
u1: Deg. C
st: NotStopd

id: Temperature F
t0: [22:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98.8
n1: 98.8
u1: Deg. F
st: NotStopd

id: calprevflg
t0: [22:30:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: Gastric Meds
t0: [20:00:00 25/02/2016]
el: 2
ai: 155
cg: RN
cu: CSRU
vo: 100
vu: ml

id: Gastric Meds
t0: [22:00:00 25/02/2016]
el: 2
ai: 155
cg: RN
cu: CSRU
vo: 30
vu: ml

id: GT Flush
t0: [20:00:00 25/02/2016]
el: 1
ai: 338
cg: RN
cu: CSRU
vo: 30
vu: ml

id: GT Flush
t0: [22:00:00 25/02/2016]
el: 1
ai: 338
cg: RN
cu: CSRU
vo: 30
vu: ml

Med Event

id: Fentanyl
t0: [22:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 50
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

id: Fentanyl
t0: [22:30:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 50
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip
st: Stopped

[23:00:00 25/02/2016] start prev next end

Physician Order

pi: 4534567
hi: 27155
t0: [00:00:00 26/02/2016]
tf: [23:00:00 26/02/2016]
pt: IV Large Volume
st: Expired
rt: IV
fr: ASDIR
iv: 500 ml NS Bolus 500 ml Over 30 mins
it: B
dt: 1
di: Doses
xu: Enter on Label

pi: 4534587
hi: 27155
t0: [00:00:00 26/02/2016]
tf: [23:00:00 26/02/2016]
pt: IV Large Volume
st: Expired
rt: IV
fr: ASDIR
iv: 500 ml NS Bolus 500 ml Over 30 mins
it: B
dt: 1
di: Doses
xu: Enter on Label

[23:26:00 25/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Range of Motion
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Service Type
t0: [23:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [23:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [23:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sedated
st: NotStopd

id: Risk for Falls
t0: [23:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [23:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [23:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [23:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: FiO2 Set
t0: [23:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 0.5
n1: 0.5
u1: torr
st: NotStopd

id: Heart Rate
t0: [23:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 103
n1: 103
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [23:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: O2 Delivery Device
t0: [23:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Aerosol-Cool
st: NotStopd

id: Arterial BP
t0: [23:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 95
n1: 95
u1: mmHg
v2: 55
n2: 55
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [23:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 67
n1: 67
u1: mmHg
st: NotStopd

id: Position Change
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Precautions
t0: [23:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [23:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [23:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [23:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [23:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Reason For Restraint
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Rate
t0: [23:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 17
n1: 17
u1: BPM
st: NotStopd

id: Restraint Location
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Side Rails
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: SpO2
t0: [23:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: %
st: NotStopd

id: calprevflg
t0: [23:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Pt./Family Informed
t0: [22:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Fingerstick Glucose
t0: [23:00:00 25/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 104
n1: 104
rs: Manual
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [23:00:00 25/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 500
vu: ml

id: TPN 1000.0ml
t0: [23:00:00 25/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [23:00:00 25/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 5
vu: ml

id: Urine Out Foley
t0: [23:00:00 25/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 480
vu: ml

[23:29:00 25/02/2016] start prev next end

Chart Event

id: Art.pH
t0: [23:26:00 25/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 7.4
n1: 7.4
rs: Final
st: NotStopd

id: Lactic Acid
t0: [23:26:00 25/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 1
n1: 1
rs: Final
st: NotStopd

id: Arterial Base Excess
t0: [23:26:00 25/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 3
n1: 3
rs: Final
st: NotStopd

id: Arterial CO2(Calc)
t0: [23:26:00 25/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 30
n1: 30
rs: Final
st: NotStopd

id: Arterial PaCO2
t0: [23:26:00 25/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 47
n1: 47
u1: mmHg
rs: Final
st: NotStopd

id: Arterial PaO2
t0: [23:26:00 25/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 179
n1: 179
u1: mmHg
rs: Final
st: NotStopd

id: Arterial pH
t0: [23:26:00 25/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 7.4
n1: 7.4
rs: Final
st: NotStopd

id: Lactic Acid(0.5-2.0)
t0: [23:26:00 25/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 1
n1: 1
rs: Final
st: NotStopd

[00:00:00 26/02/2016] start prev next end

Additive

id: Levophed-k
io: D5W 250.0ml + 8mcgkgmin Levophed-k
el: 200
cg: RN
cu: CSRU
am: 8
du: mcgkgmin
rt: IV Drip

Delivery

io: D5W 250.0ml + 8mcgkgmin Levophed-k
el: 2
cg: RN
cu: CSRU
ra: 4.21875
ru: ml/hr

[00:15:00 26/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Range of Motion
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Service Type
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sedated
st: NotStopd

id: Risk for Falls
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Diet Type
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: TPN
st: NotStopd

id: Dorsal PedPulse R/L
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Ectopy Frequency
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Alarms
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: ON
st: NotStopd

id: Parameters Checked
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: GI#1 Intub Site
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Salem Sump
v2: Right Nare
st: NotStopd

id: Health Care Proxy
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Topic #1
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Activity
st: NotStopd

id: Eye Care
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Eye Opening
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 3 To speech
st: NotStopd

id: FiO2 Set
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 0.5
n1: 0.5
u1: torr
st: NotStopd

id: Follows Commands
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Inconsistently
st: NotStopd

id: GCS Total
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 10
n1: 10
u1: points
st: NotStopd

id: GI Intub #1/Site
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Salem Sump
v2: Right Nare
st: NotStopd

id: GI#1 Tube PlaceCheck
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: GI#1 Tube Stat/Drain
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clamped
st: NotStopd

id: HOB
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 30 degrees
st: NotStopd

id: Heart Rate
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 99
n1: 99
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: INV Line#2 Type/Site
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: A-Line
v2: Right Radial
st: NotStopd

id: INV Line#2 Zero/Cal
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: No
st: NotStopd

id: INV Line#2InsertDate
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 11
n2: 11
st: NotStopd

id: INV Line#2SiteAppear
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: INV Line#4 Type/Site
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Multi-lumen
v2: Left Subclavian
st: NotStopd

id: INV Line#4InsertDate
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 12
n2: 12
st: NotStopd

id: INV Line#4SiteAppear
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Redness
st: NotStopd

id: Abdominal Assessment
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft
st: NotStopd

id: INV#2 WaveformAppear
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sharp
st: NotStopd

id: IV #1 Insert Date
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 14
n2: 14
st: NotStopd

id: IV #1 Site/Size
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Hand
v2: 20 gauge
st: NotStopd

id: IV #4 Insert Date
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 13
n2: 13
st: NotStopd

id: IV #4 Site/Size
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: LL Post Forearm
v2: 20 gauge
st: NotStopd

id: Activity
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: IV Site Appear #1
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: IV Site Appear #4
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: Activity Tolerance
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: ImpSkin Treatment #1
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Duoderm
st: NotStopd

id: Impaired Skin Site#1
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Inc Dsg/Status #1
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Dry Sterile Dsg
st: NotStopd

id: Incision/Wound #1
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: LL Strength/Movement
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Moves on Bed
st: NotStopd

id: LLL Lung Sounds
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: LU Strength/Movement
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: No Movement
st: NotStopd

id: LUL Lung Sounds
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: Level of Conscious
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Arouse to Stimul
st: NotStopd

id: Motor Response
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 5 Localizes Pain
st: NotStopd

id: NBP
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 92
n1: 92
u1: mmHg
v2: 51
n2: 51
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: mmHg
st: NotStopd

id: O2 Delivery Device
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Aerosol-Cool
st: NotStopd

id: Oral Care
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Oral Cavity
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Teeth/Tissue WNL
st: NotStopd

id: Orientation
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Disoriented
st: NotStopd

id: AntiEmbDevice/Status
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Arterial BP
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 93
n1: 93
u1: mmHg
v2: 53
n2: 53
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 66
n1: 66
u1: mmHg
st: NotStopd

id: Position
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Supine
st: NotStopd

id: Position Change
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Assistance Device
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: INV#2 Dsg Change
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Dsg Change
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Pupil Response R/L
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Brisk
v2: Brisk
st: NotStopd

id: Pupil Size R/L
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 mm
v2: 4 mm
st: NotStopd

id: RL Strength/Movement
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: No Movement
st: NotStopd

id: RLL Lung Sounds
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: RU Strength/Movement
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: No Movement
st: NotStopd

id: RUL Lung Sounds
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: Reason For Restraint
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Pattern
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 14
n1: 14
u1: BPM
st: NotStopd

id: Responds to Stimuli
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: Restraint Location
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Side Rails
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Significant Events
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Fluid Bolus
st: NotStopd

id: Skin Care
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Skin Color
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pale
st: NotStopd

id: Skin Integrity
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Impaired
st: NotStopd

id: Skin Temp/Condition
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Warm
v2: Dry
st: NotStopd

id: SpO2
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: %
st: NotStopd

id: Spontaneous Movement
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Support Systems
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: INV#2 Cap Change
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#2 Tubing Change
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Cap Change
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Tubing Change
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: Temp. Site
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Axillary
st: NotStopd

id: Temperature C (calc)
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 36.7222
n1: 36.7222
u1: Deg. C
st: NotStopd

id: Temperature F
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98.1
n1: 98.1
u1: Deg. F
st: NotStopd

id: Therapeutic Bed
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Side to Side
st: NotStopd

id: Urine Color/Appear
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Light Yellow
v2: Clear
st: NotStopd

id: Urine Source
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Indwelling Cath
st: NotStopd

id: Verbal Response
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Incomp sounds
st: NotStopd

id: Back Care
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: calprevflg
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Behavior
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sedated
st: NotStopd

id: Pt./Family Informed
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Bowel Sounds
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Present
st: NotStopd

id: Braden Activity
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedfast
st: NotStopd

id: Braden Frict/Shear
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Problem
st: NotStopd

id: Braden Mobility
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Very Limited
st: NotStopd

id: Braden Moisture
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Occ. Moist
st: NotStopd

id: Braden Nutrition
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Adequate
st: NotStopd

id: Braden Score
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 13
n1: 13
u1: number
st: NotStopd

id: Braden SensoryPercep
t0: [00:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sl. Limited
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [00:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 500
vu: ml

id: TPN 1000.0ml
t0: [00:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: Urine Out Foley
t0: [00:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 300
vu: ml

[01:12:00 26/02/2016] start prev next end

Chart Event

id: Service Type
t0: [01:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [01:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [01:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [01:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [01:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [01:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: FiO2 Set
t0: [01:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 0.5
n1: 0.5
u1: torr
st: NotStopd

id: Heart Rate
t0: [01:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 84
n1: 84
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [01:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: O2 Delivery Device
t0: [01:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Aerosol-Cool
st: NotStopd

id: Arterial BP
t0: [01:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: mmHg
v2: 55
n2: 55
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [01:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 69
n1: 69
u1: mmHg
st: NotStopd

id: Precautions
t0: [01:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [01:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [01:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [01:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [01:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [01:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 14
n1: 14
u1: BPM
st: NotStopd

id: SpO2
t0: [01:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: %
st: NotStopd

id: calprevflg
t0: [01:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [22:00:00 25/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 250
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [01:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 20
vu: ml

id: TPN 1000.0ml
t0: [01:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

[02:38:00 26/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Pain Present
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: No
st: NotStopd

id: Range of Motion
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: bath
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done

id: Pain Assess Method
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Non-verbal cues
st: NotStopd

id: Service Type
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Calm/Cooperative
st: NotStopd

id: Daily Wake Up
t0: [02:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Risk for Falls
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Eye Care
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: FiO2 Set
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 0.5
n1: 0.5
u1: torr
st: NotStopd

id: HOB
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 30 degrees
st: NotStopd

id: Heart Rate
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 101
n1: 101
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: Activity
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: Activity Tolerance
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: O2 Delivery Device
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Aerosol-Cool
st: NotStopd

id: Oral Care
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: AntiEmbDevice/Status
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Arterial BP
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 108
n1: 108
u1: mmHg
v2: 65
n2: 65
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 80
n1: 80
u1: mmHg
st: NotStopd

id: Position
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Side
st: NotStopd

id: Position Change
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Assistance Device
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Reason For Restraint
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Rate
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 12
n1: 12
u1: BPM
st: NotStopd

id: Restraint Location
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Side Rails
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Skin Care
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: SpO2
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: %
st: NotStopd

id: Therapeutic Bed
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Side to Side
st: NotStopd

id: Back Care
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: calprevflg
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Pt./Family Informed
t0: [02:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [01:00:00 26/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 150
vu: ml

id: D5W 100.0ml
t0: [02:00:00 26/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 100
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [02:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 5
vu: ml

id: TPN 1000.0ml
t0: [02:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: Stool Out Stool
t0: [01:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vu: ml
es: Large

id: Urine Out Foley
t0: [01:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 900
vu: ml

[03:07:00 26/02/2016] start prev next end

Chart Event

id: Service Type
t0: [03:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [03:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [03:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Agitated
st: NotStopd

id: Risk for Falls
t0: [03:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [03:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [03:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [03:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [03:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 79
n1: 79
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [03:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Arterial BP
t0: [03:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 130
n1: 130
u1: mmHg
v2: 78
n2: 78
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [03:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: mmHg
st: NotStopd

id: Precautions
t0: [03:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [03:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [03:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [03:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [03:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [03:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 13
n1: 13
u1: BPM
st: NotStopd

id: calprevflg
t0: [03:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: TPN 1000.0ml
t0: [03:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [00:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 5
vu: ml
st: Stopped

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [01:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [02:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vu: ml

id: Urine Out Foley
t0: [03:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 380
vu: ml

[04:21:00 26/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Pain Present
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Range of Motion
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Pain Assess Method
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pt Verbalized
st: NotStopd

id: Service Type
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Agitated
st: NotStopd

id: Daily Wake Up
t0: [04:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Risk for Falls
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Diet Type
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: TPN
st: NotStopd

id: Dorsal PedPulse R/L
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Ectopy Frequency
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Alarms
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: ON
st: NotStopd

id: Parameters Checked
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Topic #1
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Activity
st: NotStopd

id: Eye Opening
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Spontaneously
st: NotStopd

id: FiO2 Set
t0: [03:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 0.4
n1: 0.4
u1: torr
st: NotStopd

id: FiO2 Set
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 0.4
n1: 0.4
u1: torr
st: NotStopd

id: Follows Commands
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Inconsistently
st: NotStopd

id: GCS Total
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 14
n1: 14
u1: points
st: NotStopd

id: Heart Rate
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: INV Line#2 Type/Site
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: A-Line
v2: Right Radial
st: NotStopd

id: INV Line#2 Zero/Cal
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: No
st: NotStopd

id: INV Line#2InsertDate
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 11
n2: 11
st: NotStopd

id: INV Line#2SiteAppear
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: INV Line#4 Type/Site
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Multi-lumen
v2: Left Subclavian
st: NotStopd

id: INV Line#4InsertDate
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 12
n2: 12
st: NotStopd

id: INV Line#4SiteAppear
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Redness
st: NotStopd

id: Abdominal Assessment
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft
st: NotStopd

id: INV#2 WaveformAppear
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sharp
st: NotStopd

id: IV #1 Insert Date
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 14
n2: 14
st: NotStopd

id: IV #1 Site/Size
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Hand
v2: 20 gauge
st: NotStopd

id: IV #4 Insert Date
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 13
n2: 13
st: NotStopd

id: IV #4 Site/Size
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: LL Post Forearm
v2: 20 gauge
st: NotStopd

id: IV Site Appear #1
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: IV Site Appear #4
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: ImpSkin Treatment #1
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Duoderm
st: NotStopd

id: Impaired Skin Site#1
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Inc Dsg/Status #1
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Dry Sterile Dsg
st: NotStopd

id: Incision/Wound #1
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: LL Strength/Movement
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: LLL Lung Sounds
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: LU Strength/Movement
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: LUL Lung Sounds
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: Level of Conscious
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Alert
st: NotStopd

id: Motor Response
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 6 Obeys Commands
st: NotStopd

id: O2 Delivery Device
t0: [03:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Aerosol-Cool
st: NotStopd

id: O2 Delivery Device
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Aerosol-Cool
st: NotStopd

id: Oral Cavity
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Teeth/Tissue WNL
st: NotStopd

id: Orientation
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oriented x 2
st: NotStopd

id: Arterial BP
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 101
n1: 101
u1: mmHg
v2: 67
n2: 67
u2: mmHg
st: NotStopd

id: Pain Location
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Other/Remarks
st: NotStopd

id: Pain Management
t0: [04:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
v1: IV Gtt
st: NotStopd

id: Pain Type
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Aching
st: NotStopd

id: Arterial BP Mean
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 81
n1: 81
u1: mmHg
st: NotStopd

id: Position Change
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Precautions
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: INV#2 Dsg Change
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Dsg Change
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Pupil Response R/L
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Brisk
v2: Brisk
st: NotStopd

id: Pupil Size R/L
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 mm
v2: 4 mm
st: NotStopd

id: RL Strength/Movement
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: RLL Lung Sounds
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: RU Strength/Movement
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: RUL Lung Sounds
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: Reason For Restraint
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Pattern
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 17
n1: 17
u1: BPM
st: NotStopd

id: Responds to Stimuli
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: Restraint Location
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Side Rails
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Skin Color
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Flushed
st: NotStopd

id: Skin Integrity
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Impaired
st: NotStopd

id: Skin Temp/Condition
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Warm
v2: Dry
st: NotStopd

id: SpO2
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: Spontaneous Movement
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purposeful
st: NotStopd

id: Support Systems
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: INV#2 Cap Change
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#2 Tubing Change
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Cap Change
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Tubing Change
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: Temp. Site
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Axillary
st: NotStopd

id: Temperature C (calc)
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 37.0556
n1: 37.0556
u1: Deg. C
st: NotStopd

id: Temperature F
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98.7
n1: 98.7
u1: Deg. F
st: NotStopd

id: Urine Color/Appear
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yellow
v2: Clear
st: NotStopd

id: Urine Source
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Indwelling Cath
st: NotStopd

id: Verbal Response
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Confused
st: NotStopd

id: calprevflg
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Behavior
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Agitated
st: NotStopd

id: Pt./Family Informed
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Bowel Sounds
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Present
st: NotStopd

id: Braden Activity
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedfast
st: NotStopd

id: Braden Frict/Shear
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Problem
st: NotStopd

id: Braden Mobility
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sl. Limited
st: NotStopd

id: Braden Moisture
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Occ. Moist
st: NotStopd

id: Braden Nutrition
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Prob. Inadequate
st: NotStopd

id: Braden Score
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 13
n1: 13
u1: number
st: NotStopd

id: Braden SensoryPercep
t0: [04:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sl. Limited
st: NotStopd

I/O Event

id: TPN 1000.0ml
t0: [04:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: Urine Out Foley
t0: [04:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 200
vu: ml

Med Event

id: Fentanyl
t0: [04:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[05:00:00 26/02/2016] start prev next end

Chart Event

id: WBC   (4-11,000)
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 5.6
n1: 5.6
rs: Final
st: NotStopd

id: WBC
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 5.6
n1: 5.6
rs: Final
st: NotStopd

id: Hematocrit
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 32.9
n1: 32.9
u1: %
rs: Final
st: NotStopd

id: Hemoglobin
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 11
n1: 11
u1: gm/dl
rs: Final
st: NotStopd

id: Platelets
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 202
n1: 202
rs: Final
st: NotStopd

id: RBC
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 3.55
n1: 3.55
u1: /mic l
rs: Final
st: NotStopd

id: WBC (4-11,000)
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 5.6
n1: 5.6
rs: Final
st: NotStopd

[05:21:00 26/02/2016] start prev next end

Chart Event

id: BUN
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 13
n1: 13
rs: Final
st: NotStopd

id: Calcium
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 8.4
n1: 8.4
u1: mg/dl
rs: Final
st: NotStopd

id: Chloride
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 100
n1: 100
rs: Final
st: NotStopd

id: Creatinine
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 0.3
n1: 0.3
rs: Final
st: NotStopd

id: Glucose
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 97
n1: 97
rs: Final
st: NotStopd

id: Magnesium
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 1.9
n1: 1.9
rs: Final
st: NotStopd

id: Phosphorous
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 4.7
n1: 4.7
u1: mEq/L
rs: Final
st: NotStopd

id: Potassium
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 3.4
n1: 3.4
rs: Final
st: NotStopd

id: Sodium
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 134
n1: 134
rs: Final
st: NotStopd

id: BUN (6-20)
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 13
n1: 13
rs: Final
st: NotStopd

id: Calcium (8.4-10.2)
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 8.4
n1: 8.4
u1: mg/dl
rs: Final
st: NotStopd

id: Carbon Dioxide
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 28
n1: 28
rs: Final
st: NotStopd

id: Chloride (100-112)
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 100
n1: 100
rs: Final
st: NotStopd

id: Creatinine (0-1.3)
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 0.3
n1: 0.3
rs: Final
st: NotStopd

id: Glucose (70-105)
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 97
n1: 97
rs: Final
st: NotStopd

id: Magnesium (1.6-2.6)
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 1.9
n1: 1.9
rs: Final
st: NotStopd

id: Phosphorous(2.7-4.5)
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 4.7
n1: 4.7
u1: mEq/L
rs: Final
st: NotStopd

id: Potassium (3.5-5.3)
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 3.4
n1: 3.4
rs: Final
st: NotStopd

id: Sodium (135-148)
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 134
n1: 134
rs: Final
st: NotStopd

[05:30:00 26/02/2016] start prev next end

Chart Event

id: PT
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 13.6
n1: 13.6
rs: Final
st: NotStopd

id: INR
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 1.2
n1: 1.2
rs: Final
st: NotStopd

id: PTT
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 34.2
n1: 34.2
rs: Final
st: NotStopd

id: INR (2-4 ref. range)
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 1.2
n1: 1.2
rs: Final
st: NotStopd

id: PT(11-13.5)
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 13.6
n1: 13.6
rs: Final
st: NotStopd

id: PTT(22-35)
t0: [04:05:00 26/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 34.2
n1: 34.2
rs: Final
st: NotStopd

[05:38:00 26/02/2016] start prev next end

Chart Event

id: Fingerstick Glucose
t0: [06:00:00 26/02/2016]
el: 0
cg: CoWker
cu: CSRU
v1: 104
n1: 104
rs: Manual
st: NotStopd

[06:15:00 26/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Range of Motion
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Service Type
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Service Type
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Code Status
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sedated
st: NotStopd

id: Risk for Falls
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Risk for Falls
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Frequency
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Eye Care
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: FiO2 Set
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 0.4
n1: 0.4
u1: torr
st: NotStopd

id: HOB
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 30 degrees
st: NotStopd

id: Heart Rate
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 87
n1: 87
u1: BPM
st: NotStopd

id: Heart Rate
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 94
n1: 94
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Heart Rhythm
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Activity
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: Activity Tolerance
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: O2 Delivery Device
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Aerosol-Cool
st: NotStopd

id: O2 Delivery Device
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Nasal Cannula
st: NotStopd

id: O2 Flow (lpm) #2
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4
n1: 4
u1: lpm
st: NotStopd

id: Oral Care
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: AntiEmbDevice/Status
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Arterial BP
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 116
n1: 116
u1: mmHg
v2: 63
n2: 63
u2: mmHg
st: NotStopd

id: Arterial BP
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 108
n1: 108
u1: mmHg
v2: 60
n2: 60
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 78
n1: 78
u1: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 74
n1: 74
u1: mmHg
st: NotStopd

id: Position
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Supine
st: NotStopd

id: Position Change
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Assistance Device
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: Precautions
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Reason For Restraint
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Rate
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 17
n1: 17
u1: BPM
st: NotStopd

id: Respiratory Rate
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 19
n1: 19
u1: BPM
st: NotStopd

id: Restraint Location
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Behavior Conts
st: NotStopd

id: Side Rails
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: SpO2
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: SpO2
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: Therapeutic Bed
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Side to Side
st: NotStopd

id: calprevflg
t0: [05:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: calprevflg
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Pt./Family Informed
t0: [06:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [06:00:00 26/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 100
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [03:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 20
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [04:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 20
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [05:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 20
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [06:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [05:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: TPN 1000.0ml
t0: [06:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [04:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [05:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [06:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

id: Stool Out Stool
t0: [05:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vu: ml
es: Large

id: Urine Out Foley
t0: [05:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 210
vu: ml

id: Urine Out Foley
t0: [06:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 250
vu: ml

Med Event

id: Fentanyl
t0: [05:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

id: Fentanyl
t0: [06:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

Total I/O Event

id: Stool Out Total
t0: [23:00:00 26/02/2016]
el: 3
cg: 3161
cu: CSRU
cv: 0
ac: 24
ap: carryForward
re: 0

[06:43:00 26/02/2016] start prev next end

Chart Event

id: Service Type
t0: [07:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [07:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [07:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [07:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [07:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [07:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [07:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [07:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: O2 Delivery Device
t0: [07:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Nasal Cannula
st: NotStopd

id: O2 Flow (lpm) #2
t0: [07:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 3
n1: 3
u1: lpm
st: NotStopd

id: Arterial BP
t0: [07:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 116
n1: 116
u1: mmHg
v2: 64
n2: 64
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [07:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 79
n1: 79
u1: mmHg
st: NotStopd

id: Precautions
t0: [07:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [07:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [07:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [07:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [07:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [07:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 19
n1: 19
u1: BPM
st: NotStopd

id: SpO2
t0: [07:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: calprevflg
t0: [07:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [07:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [07:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [07:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

id: Urine Out Foley
t0: [07:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 180
vu: ml

Med Event

id: Fentanyl
t0: [07:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[08:00:00 26/02/2016] start prev next end

Chart Event

id: GI#1 Intub Site
t0: [08:00:00 26/02/2016]
el: 0
cg: -1
cu: CSRU
st: D/C'd

id: GI Intub #1/Site
t0: [08:00:00 26/02/2016]
el: 0
cg: -1
cu: CSRU
st: D/C'd

id: GI#1 Tube PlaceCheck
t0: [08:00:00 26/02/2016]
el: 0
cg: -1
cu: CSRU
st: D/C'd

id: GI#1 Tube Stat/Drain
t0: [08:00:00 26/02/2016]
el: 0
cg: -1
cu: CSRU
st: D/C'd

[08:21:00 26/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Pain Present
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Range of Motion
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Pain Assess Method
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pt Verbalized
st: NotStopd

id: Service Type
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Agitated
st: NotStopd

id: Daily Wake Up
t0: [08:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Risk for Falls
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Diet Type
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: TPN
st: NotStopd

id: Dorsal PedPulse R/L
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Ectopy Frequency
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Alarms
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: ON
st: NotStopd

id: Parameters Checked
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Learner
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Patient
st: NotStopd

id: Health Care Proxy
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Topic #1
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Disease Process
st: NotStopd

id: Education Topic #2
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Plan of Care
st: NotStopd

id: Extubation Date
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: Eye Opening
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Spontaneously
st: NotStopd

id: Follows Commands
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Inconsistently
st: NotStopd

id: GCS Total
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 14
n1: 14
u1: points
st: NotStopd

id: HOB
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 30 degrees
st: NotStopd

id: Heart Rate
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 107
n1: 107
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: INV Line#2 Type/Site
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: A-Line
v2: Right Radial
st: NotStopd

id: INV Line#2 Zero/Cal
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: INV Line#2InsertDate
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 11
n2: 11
st: NotStopd

id: INV Line#2SiteAppear
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: INV Line#4 Type/Site
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Multi-lumen
v2: Left Subclavian
st: NotStopd

id: INV Line#4InsertDate
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 12
n2: 12
st: NotStopd

id: INV Line#4SiteAppear
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Redness
st: NotStopd

id: Abdominal Assessment
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft
st: NotStopd

id: INV#2 WaveformAppear
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sharp
st: NotStopd

id: IV #1 Insert Date
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 14
n2: 14
st: NotStopd

id: IV #1 Site/Size
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Hand
v2: 20 gauge
st: NotStopd

id: IV #4 Insert Date
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 13
n2: 13
st: NotStopd

id: IV #4 Site/Size
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: LL Post Forearm
v2: 20 gauge
st: NotStopd

id: Activity
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: IV Site Appear #1
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: IV Site Appear #4
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: Activity Tolerance
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: ImpSkin Treatment #1
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Duoderm
st: NotStopd

id: Impaired Skin Site#1
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Inc Dsg/Status #1
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Dry Sterile Dsg
st: NotStopd

id: Incision/Wound #1
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: Intubation Date
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 11
n2: 11
st: NotStopd

id: LL Strength/Movement
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: LLL Lung Sounds
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: LU Strength/Movement
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: LUL Lung Sounds
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: Level of Conscious
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Alert
st: NotStopd

id: Motor Response
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 6 Obeys Commands
st: NotStopd

id: NBP
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 123
n1: 123
u1: mmHg
v2: 90
n2: 90
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: mmHg
st: NotStopd

id: O2 Delivery Device
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Nasal Cannula
st: NotStopd

id: O2 Flow (lpm) #2
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 3
n1: 3
u1: lpm
st: NotStopd

id: Oral Care
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Oral Cavity
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Teeth/Tissue WNL
st: NotStopd

id: Orientation
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oriented x 1
st: NotStopd

id: AntiEmbDevice/Status
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Arterial BP
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 113
n1: 113
u1: mmHg
v2: 86
n2: 86
u2: mmHg
st: NotStopd

id: Pain Management
t0: [08:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
v1: IV Gtt
st: NotStopd

id: Pain Type
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Aching
st: NotStopd

id: Arterial BP Mean
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: mmHg
st: NotStopd

id: Position
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Left Side
st: NotStopd

id: Position Change
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: PostTib. Pulses R/L
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Assistance Device
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: INV#2 Dsg Change
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Dsg Change
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Pupil Response R/L
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Brisk
v2: Brisk
st: NotStopd

id: Pupil Size R/L
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 mm
v2: 4 mm
st: NotStopd

id: RL Strength/Movement
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: RLL Lung Sounds
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: RU Strength/Movement
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: RUL Lung Sounds
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: Reason For Restraint
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Pattern
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 15
n1: 15
u1: BPM
st: NotStopd

id: Responds to Stimuli
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: Restraint Location
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Behavior Conts
st: NotStopd

id: Side Rails
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Skin Color
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Flushed
st: NotStopd

id: Skin Integrity
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Impaired
st: NotStopd

id: Skin Temp/Condition
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Warm
v2: Dry
st: NotStopd

id: SpO2
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 99
n1: 99
u1: %
st: NotStopd

id: Spontaneous Movement
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purposeful
st: NotStopd

id: Stool Guaiac
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Not Applicable
st: NotStopd

id: Support Systems
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: INV#2 Cap Change
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#2 Tubing Change
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Cap Change
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Tubing Change
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: Temp. Site
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oral
st: NotStopd

id: Temperature C (calc)
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 36.7222
n1: 36.7222
u1: Deg. C
st: NotStopd

id: Temperature F
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98.1
n1: 98.1
u1: Deg. F
st: NotStopd

id: Therapeutic Bed
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Side to Side
st: NotStopd

id: Urine Color/Appear
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yellow
v2: Clear
st: NotStopd

id: Urine Source
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Indwelling Cath
st: NotStopd

id: Verbal Response
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Confused
st: NotStopd

id: calprevflg
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Behavior
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Agitated
st: NotStopd

id: Pt./Family Informed
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Bowel Sounds
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Present
st: NotStopd

id: JP DRAIN
t0: [08:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: intact

I/O Event

id: D5W 100.0ml
t0: [08:00:00 26/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 250
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [08:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [08:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 5
vu: ml

id: Urine Out Foley
t0: [08:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 220
vu: ml

Med Event

id: Fentanyl
t0: [08:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 50
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[08:48:00 26/02/2016] start prev next end

Chart Event

id: Service Type
t0: [09:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [09:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [09:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [09:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [09:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [09:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [09:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 102
n1: 102
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [09:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: Arterial BP
t0: [09:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 113
n1: 113
u1: mmHg
v2: 70
n2: 70
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [09:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 84
n1: 84
u1: mmHg
st: NotStopd

id: Precautions
t0: [09:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [09:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [09:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [09:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [09:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [09:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 15
n1: 15
u1: BPM
st: NotStopd

id: SpO2
t0: [09:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: %
st: NotStopd

id: calprevflg
t0: [09:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: TPN 1000.0ml
t0: [08:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: TPN 1000.0ml
t0: [09:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [09:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 5
vu: ml

Med Event

id: Fentanyl
t0: [09:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 50
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[09:00:00 26/02/2016] start prev next end

Physician Order

pi: 4535332
hi: 27155
t0: [10:00:00 26/02/2016]
pt: TPN
st: Expired

[10:23:00 26/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Range of Motion
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Service Type
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 99
n1: 99
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Arterial BP
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 107
n1: 107
u1: mmHg
v2: 62
n2: 62
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 76
n1: 76
u1: mmHg
st: NotStopd

id: Position Change
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Precautions
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Reason For Restraint
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Rate
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 17
n1: 17
u1: BPM
st: NotStopd

id: Restraint Location
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: SpO2
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: calprevflg
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Pt./Family Informed
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [10:00:00 26/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 100
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [09:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [10:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [10:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [10:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 5
vu: ml

id: Urine Out Foley
t0: [09:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 250
vu: ml

id: Urine Out Foley
t0: [10:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 250
vu: ml

Med Event

id: Fentanyl
t0: [10:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 50
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[11:25:00 26/02/2016] start prev next end

Chart Event

id: Service Type
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: HOB
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 45 degrees
st: NotStopd

id: Heart Rate
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 96
n1: 96
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Activity
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: Activity Tolerance
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: AntiEmbDevice/Status
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Arterial BP
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 110
n1: 110
u1: mmHg
v2: 63
n2: 63
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 77
n1: 77
u1: mmHg
st: NotStopd

id: Position
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Supine
st: NotStopd

id: Assistance Device
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 17
n1: 17
u1: BPM
st: NotStopd

id: SpO2
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: Therapeutic Bed
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Side to Side
st: NotStopd

id: calprevflg
t0: [11:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [11:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [11:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [11:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 5
vu: ml

Med Event

id: Fentanyl
t0: [11:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 50
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[12:00:00 26/02/2016] start prev next end

Physician Order

pi: 4536070
hi: 27155
t0: [13:00:00 26/02/2016]
tf: [12:00:00 27/02/2016]
mn: Potassium Chloride
pt: IV Piggyback
st: Expired
rt: IV
fr: ONCE
ds: 13
dn: 1
dt: 1
di: Doses
xv: 36
xu: Hours

[12:21:00 26/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Orientation
st: NotStopd

id: Range of Motion
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Service Type
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Calm/Cooperative
st: NotStopd

id: Risk for Falls
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Alarms
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: ON
st: NotStopd

id: Parameters Checked
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Topic #1
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Disease Process
st: NotStopd

id: Extubation Date
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: Heart Rate
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 95
n1: 95
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: INV Line#2 Type/Site
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: A-Line
v2: Right Radial
st: NotStopd

id: INV Line#2 Zero/Cal
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: No
st: NotStopd

id: INV Line#2InsertDate
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 11
n2: 11
st: NotStopd

id: INV Line#2SiteAppear
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: INV Line#4 Type/Site
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Multi-lumen
v2: Left Subclavian
st: NotStopd

id: INV Line#4InsertDate
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 12
n2: 12
st: NotStopd

id: INV Line#4SiteAppear
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Redness
st: NotStopd

id: INV#2 WaveformAppear
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sharp
st: NotStopd

id: IV #1 Insert Date
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 14
n2: 14
st: NotStopd

id: IV #1 Site/Size
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Hand
v2: 20 gauge
st: NotStopd

id: IV #4 Insert Date
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 13
n2: 13
st: NotStopd

id: IV #4 Site/Size
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: LL Post Forearm
v2: 20 gauge
st: NotStopd

id: IV Site Appear #1
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: IV Site Appear #4
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: ImpSkin Treatment #1
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Duoderm
st: NotStopd

id: Impaired Skin Site#1
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Inc Dsg/Status #1
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Dry Sterile Dsg
st: NotStopd

id: Incision/Wound #1
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: Intubation Date
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 11
n2: 11
st: NotStopd

id: O2 Delivery Device
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Nasal Cannula
st: NotStopd

id: O2 Flow (lpm) #2
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
u1: lpm
st: NotStopd

id: Arterial BP
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 111
n1: 111
u1: mmHg
v2: 63
n2: 63
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 78
n1: 78
u1: mmHg
st: NotStopd

id: Position Change
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Precautions
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: INV#2 Dsg Change
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Dsg Change
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Reason For Restraint
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Rate
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 15
n1: 15
u1: BPM
st: NotStopd

id: Restraint Location
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Behavior Conts
st: NotStopd

id: Side Rails
t0: [10:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Side Rails
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Skin Color
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Flushed
st: NotStopd

id: Skin Integrity
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Impaired
st: NotStopd

id: Skin Temp/Condition
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Warm
v2: Dry
st: NotStopd

id: SpO2
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: Support Systems
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: INV#2 Cap Change
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#2 Tubing Change
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Cap Change
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Tubing Change
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: calprevflg
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Behavior
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Calm
st: NotStopd

id: Pt./Family Informed
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [12:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [12:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [12:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 5
vu: ml

Med Event

id: Fentanyl
t0: [12:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[12:27:00 26/02/2016] start prev next end

Chart Event

id: Radiologic Study
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Chest Xray
st: NotStopd

[12:39:00 26/02/2016] start prev next end

Chart Event

id: Pain Present
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Pain Assess Method
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pt Verbalized
st: NotStopd

id: Daily Wake Up
t0: [12:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Diet Type
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: TPN
st: NotStopd

id: Dorsal PedPulse R/L
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Eye Opening
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Spontaneously
st: NotStopd

id: Follows Commands
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Inconsistently
st: NotStopd

id: GCS Total
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 14
n1: 14
u1: points
st: NotStopd

id: Abdominal Assessment
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft
st: NotStopd

id: LL Strength/Movement
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: LLL Lung Sounds
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: LU Strength/Movement
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: LUL Lung Sounds
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: Level of Conscious
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Alert
st: NotStopd

id: Motor Response
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 6 Obeys Commands
st: NotStopd

id: Oral Cavity
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Teeth/Tissue WNL
st: NotStopd

id: Orientation
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oriented x 1
st: NotStopd

id: Pain Location
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Other/Remarks
st: NotStopd

id: Pain Management
t0: [12:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
v1: IV Gtt
st: NotStopd

id: Pain Type
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Aching
st: NotStopd

id: PostTib. Pulses R/L
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Pupil Response R/L
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Brisk
v2: Brisk
st: NotStopd

id: Pupil Size R/L
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 3 mm
v2: 3 mm
st: NotStopd

id: RL Strength/Movement
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: RLL Lung Sounds
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: RU Strength/Movement
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: RUL Lung Sounds
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: Respiratory Pattern
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Responds to Stimuli
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: Spontaneous Movement
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purposeful
st: NotStopd

id: Stool Guaiac
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Not Applicable
st: NotStopd

id: Temp. Site
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oral
st: NotStopd

id: Temperature C (calc)
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 36.4444
n1: 36.4444
u1: Deg. C
st: NotStopd

id: Temperature F
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97.6
n1: 97.6
u1: Deg. F
st: NotStopd

id: Urine Color/Appear
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yellow
v2: Clear
st: NotStopd

id: Urine Source
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Indwelling Cath
st: NotStopd

id: Verbal Response
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Confused
st: NotStopd

id: Bowel Sounds
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Present
st: NotStopd

id: JP DRAIN
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: intact

I/O Event

id: Urine Out Foley
t0: [11:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 200
vu: ml

id: Urine Out Foley
t0: [12:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 140
vu: ml

Total I/O Event

id: Total Hourly Output
t0: [23:00:00 26/02/2016]
el: 3
cg: 3161
cu: CSRU
pv: 260
cv: 260
ac: 1
ap: none
re: 0

id: Urine Out Total
t0: [23:00:00 26/02/2016]
el: 3
cg: 3161
cu: CSRU
pv: 260
cv: 5260
ac: 24
ap: none
re: 0

id: 24h Total Out
t0: [23:00:00 26/02/2016]
el: 3
cg: 3161
cu: CSRU
pv: 260
cv: 5275
ac: 24
ap: carryForward
re: 0

[12:44:00 26/02/2016] start prev next end

Chart Event

id: Fingerstick Glucose
t0: [12:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 111
n1: 111
rs: Manual
st: NotStopd

[12:47:00 26/02/2016] start prev next end

Chart Event

id: Service Type
t0: [13:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [13:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [13:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [13:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [13:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [13:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [13:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 99
n1: 99
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [13:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Arterial BP
t0: [13:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 106
n1: 106
u1: mmHg
v2: 61
n2: 61
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [13:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 75
n1: 75
u1: mmHg
st: NotStopd

id: Precautions
t0: [13:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [13:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [13:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [13:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [13:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [13:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 17
n1: 17
u1: BPM
st: NotStopd

id: SpO2
t0: [13:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: calprevflg
t0: [13:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [13:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [13:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [13:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

Med Event

id: Fentanyl
t0: [13:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[14:43:00 26/02/2016] start prev next end

Chart Event

id: Service Type
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Eye Care
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: HOB
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 45 degrees
st: NotStopd

id: Heart Rate
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 105
n1: 105
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: Activity
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: Activity Tolerance
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: Oral Care
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: AntiEmbDevice/Status
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Arterial BP
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 118
n1: 118
u1: mmHg
v2: 63
n2: 63
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 80
n1: 80
u1: mmHg
st: NotStopd

id: Position
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Side
st: NotStopd

id: Assistance Device
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 15
n1: 15
u1: BPM
st: NotStopd

id: Skin Care
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: SpO2
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: %
st: NotStopd

id: INV#4 Tubing Change
t0: [15:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 16
n2: 16
st: NotStopd

id: Therapeutic Bed
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Side to Side
st: NotStopd

id: Back Care
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: calprevflg
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [14:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [15:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [14:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: TPN 1000.0ml
t0: [15:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [14:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [15:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

id: Stool Out Stool
t0: [15:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vu: ml
es: Medium

id: Urine Out Foley
t0: [13:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 150
vu: ml

id: Urine Out Foley
t0: [14:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 100
vu: ml

id: Urine Out Foley
t0: [15:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 100
vu: ml

id: Drain Out #1 Jackson Pratt
t0: [08:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 15
vu: ml

Med Event

id: Fentanyl
t0: [14:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[15:38:00 26/02/2016] start prev next end

Chart Event

id: Service Type
t0: [15:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [15:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [15:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [15:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [15:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [15:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [15:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 95
n1: 95
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [15:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Arterial BP
t0: [15:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 118
n1: 118
u1: mmHg
v2: 63
n2: 63
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [15:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 81
n1: 81
u1: mmHg
st: NotStopd

id: Precautions
t0: [15:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [15:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [15:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [15:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [15:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [15:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 15
n1: 15
u1: BPM
st: NotStopd

id: SpO2
t0: [15:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 95
n1: 95
u1: %
st: NotStopd

id: calprevflg
t0: [15:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

Med Event

id: Fentanyl
t0: [15:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[17:16:00 26/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Less Restrict Meas.
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Pain Present
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Range of Motion
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Range of Motion
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Pain Assess Method
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pt Verbalized
st: NotStopd

id: Service Type
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Circulation/SkinInt
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Agitated
st: NotStopd

id: Daily Wake Up
t0: [16:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Risk for Falls
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Diet Type
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: TPN
st: NotStopd

id: Dorsal PedPulse R/L
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Ectopy Frequency
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Alarms
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: ON
st: NotStopd

id: Parameters Checked
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Learner
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Patient
st: NotStopd

id: Health Care Proxy
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Topic #1
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Disease Process
st: NotStopd

id: Education Topic #2
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Plan of Care
st: NotStopd

id: Extubation Date
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: Eye Opening
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Spontaneously
st: NotStopd

id: Follows Commands
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Inconsistently
st: NotStopd

id: GCS Total
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 14
n1: 14
u1: points
st: NotStopd

id: HOB
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 45 degrees
st: NotStopd

id: Heart Rate
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 92
n1: 92
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: INV Line#2 Type/Site
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: A-Line
v2: Right Radial
st: NotStopd

id: INV Line#2 Zero/Cal
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: INV Line#2InsertDate
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 11
n2: 11
st: NotStopd

id: INV Line#2SiteAppear
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: INV Line#4 Type/Site
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Multi-lumen
v2: Left Subclavian
st: NotStopd

id: INV Line#4InsertDate
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 12
n2: 12
st: NotStopd

id: INV Line#4SiteAppear
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Redness
st: NotStopd

id: Abdominal Assessment
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft
st: NotStopd

id: INV#2 WaveformAppear
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sharp
st: NotStopd

id: IV #1 Insert Date
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 14
n2: 14
st: NotStopd

id: IV #1 Site/Size
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Hand
v2: 20 gauge
st: NotStopd

id: IV #4 Insert Date
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 13
n2: 13
st: NotStopd

id: IV #4 Site/Size
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: LL Post Forearm
v2: 20 gauge
st: NotStopd

id: Activity
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: IV Site Appear #4
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: Activity Tolerance
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: ImpSkin Treatment #1
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Duoderm
st: NotStopd

id: Impaired Skin Site#1
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Inc Dsg/Status #1
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Dry Sterile Dsg
st: NotStopd

id: Incision/Wound #1
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: Intubation Date
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 11
n2: 11
st: NotStopd

id: LL Strength/Movement
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LLL Lung Sounds
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: LU Strength/Movement
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LUL Lung Sounds
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: Level of Conscious
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Alert
st: NotStopd

id: Motor Response
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 6 Obeys Commands
st: NotStopd

id: O2 Delivery Device
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Nasal Cannula
st: NotStopd

id: O2 Flow (lpm) #2
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
u1: lpm
st: NotStopd

id: Oral Cavity
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Teeth/Tissue WNL
st: NotStopd

id: Orientation
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oriented x 2
st: NotStopd

id: AntiEmbDevice/Status
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Arterial BP
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 102
n1: 102
u1: mmHg
v2: 56
n2: 56
u2: mmHg
st: NotStopd

id: Pain Location
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Other/Remarks
st: NotStopd

id: Pain Management
t0: [16:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
v1: IV Gtt
st: NotStopd

id: Pain Type
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Aching
st: NotStopd

id: Arterial BP Mean
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 71
n1: 71
u1: mmHg
st: NotStopd

id: Position
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Supine
st: NotStopd

id: Position Change
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Position Change
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: PostTib. Pulses R/L
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Assistance Device
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: INV#2 Dsg Change
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Dsg Change
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Pupil Response R/L
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Brisk
v2: Brisk
st: NotStopd

id: Pupil Size R/L
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 mm
v2: 4 mm
st: NotStopd

id: RL Strength/Movement
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: RLL Lung Sounds
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: RU Strength/Movement
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: RUL Lung Sounds
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: Reason For Restraint
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Reason For Restraint
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Removed x 5 Mins
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Pattern
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 15
n1: 15
u1: BPM
st: NotStopd

id: Responds to Stimuli
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: Restraint Location
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Location
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraint Type
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Restraints Evaluated
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Behavior Conts
st: NotStopd

id: Side Rails
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Side Rails
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Skin Care
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Skin Color
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Flushed
st: NotStopd

id: Skin Integrity
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Impaired
st: NotStopd

id: Skin Temp/Condition
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Warm
v2: Dry
st: NotStopd

id: SpO2
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 96
n1: 96
u1: %
st: NotStopd

id: Spontaneous Movement
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purposeful
st: NotStopd

id: Support Systems
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: INV#2 Cap Change
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 16
n2: 16
st: NotStopd

id: INV#2 Tubing Change
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 16
n2: 16
st: NotStopd

id: INV#4 Cap Change
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Tubing Change
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: Temp. Site
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oral
st: NotStopd

id: Temperature C (calc)
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 36.8333
n1: 36.8333
u1: Deg. C
st: NotStopd

id: Temperature F
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98.3
n1: 98.3
u1: Deg. F
st: NotStopd

id: Therapeutic Bed
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Side to Side
st: NotStopd

id: Urine Color/Appear
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yellow
v2: Clear
st: NotStopd

id: Urine Source
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Indwelling Cath
st: NotStopd

id: Verbal Response
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Confused
st: NotStopd

id: Back Care
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: calprevflg
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Behavior
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Agitated
st: NotStopd

id: Pt./Family Informed
t0: [14:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Pt./Family Informed
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Bowel Sounds
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Present
st: NotStopd

id: JP DRAIN
t0: [16:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: INTACT

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [16:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [17:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [16:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: TPN 1000.0ml
t0: [17:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [16:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [17:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

id: Stool Out Stool
t0: [17:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vu: ml
es: Medium

id: Urine Out Foley
t0: [16:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 150
vu: ml

id: Urine Out Foley
t0: [17:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 150
vu: ml

Med Event

id: Fentanyl
t0: [16:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

Total I/O Event

id: PO/Gastric In Total
t0: [23:00:00 26/02/2016]
el: 3
cg: RN
cu: CSRU
cv: 0
ac: 24
ap: none
re: 0

[17:40:00 26/02/2016] start prev next end

Chart Event

id: Service Type
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 99
n1: 99
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Arterial BP
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 120
n1: 120
u1: mmHg
v2: 69
n2: 69
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 68
n1: 68
u1: mmHg
st: NotStopd

id: Precautions
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 12
n1: 12
u1: BPM
st: NotStopd

id: SpO2
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 95
n1: 95
u1: %
st: NotStopd

id: calprevflg
t0: [17:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [18:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [18:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [18:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

id: Urine Out Foley
t0: [18:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 140
vu: ml

Med Event

id: Fentanyl
t0: [17:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[18:00:00 26/02/2016] start prev next end

Physician Order

pi: 4537204
hi: 27155
t0: [19:00:00 26/02/2016]
tf: [12:00:00 01/03/2016]
mn: Fentanyl Citrate
pt: Unit Dose
st: Inactive (Due to a change order)
rt: IV
fr: Q2H:PRN
di: Ongoing
xv: 36
xu: Hours

[18:10:00 26/02/2016] start prev next end

Chart Event

id: Service Type
t0: [18:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [18:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [18:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [18:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [18:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [18:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [18:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [18:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: Arterial BP
t0: [18:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: mmHg
v2: 72
n2: 72
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [18:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 84
n1: 84
u1: mmHg
st: NotStopd

id: Precautions
t0: [18:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [18:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [18:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [18:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [18:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [18:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 10
n1: 10
u1: BPM
st: NotStopd

id: SpO2
t0: [18:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 92
n1: 92
u1: %
st: NotStopd

id: calprevflg
t0: [18:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Fingerstick Glucose
t0: [18:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 117
n1: 117
rs: Manual
st: NotStopd

Med Event

id: Fentanyl
t0: [18:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[18:47:00 26/02/2016] start prev next end

Chart Event

id: Service Type
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: HOB
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 45 degrees
st: NotStopd

id: Heart Rate
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 95
n1: 95
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Activity
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: Activity Tolerance
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: AntiEmbDevice/Status
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Arterial BP
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 126
n1: 126
u1: mmHg
v2: 77
n2: 77
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 84
n1: 84
u1: mmHg
st: NotStopd

id: Position
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Left Side
st: NotStopd

id: Assistance Device
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 13
n1: 13
u1: BPM
st: NotStopd

id: SpO2
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 93
n1: 93
u1: %
st: NotStopd

id: Therapeutic Bed
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Side to Side
st: NotStopd

id: calprevflg
t0: [19:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [19:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [19:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml
nb: 1

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [19:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

id: Urine Out Foley
t0: [19:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 200
vu: ml

Med Event

id: Fentanyl
t0: [19:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[20:02:00 26/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Pain Present
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Range of Motion
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Pain Assess Method
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pt Verbalized
st: NotStopd

id: Service Type
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sedated
st: NotStopd

id: Daily Wake Up
t0: [20:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Risk for Falls
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Diet Type
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: TPN
st: NotStopd

id: Dorsal PedPulse R/L
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Weak Palpable
v2: Weak Palpable
st: NotStopd

id: Ectopy Frequency
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Alarms
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: ON
st: NotStopd

id: Parameters Checked
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Barrier
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Altered LOC
st: NotStopd

id: Education Handout
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Given
st: NotStopd

id: Education Learner
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Patient
st: NotStopd

id: Education Method
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Explanation
st: NotStopd

id: Education Readiness
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Response
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Understands
st: NotStopd

id: Education Topic #1
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Activity
st: NotStopd

id: Education Topic #2
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Invasive Lines
st: NotStopd

id: Extubation Date
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: Eye Opening
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Spontaneously
st: NotStopd

id: Follows Commands
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Inconsistently
st: NotStopd

id: GCS Total
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 13
n1: 13
u1: points
st: NotStopd

id: Heart Rate
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: INV Line#2 Type/Site
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: A-Line
v2: Right Radial
st: NotStopd

id: INV Line#2 Zero/Cal
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: INV Line#2InsertDate
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 11
n2: 11
st: NotStopd

id: INV Line#2SiteAppear
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: INV Line#4 Type/Site
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Multi-lumen
v2: Left Subclavian
st: NotStopd

id: INV Line#4InsertDate
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 12
n2: 12
st: NotStopd

id: INV Line#4SiteAppear
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Redness
st: NotStopd

id: Abdominal Assessment
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft
st: NotStopd

id: INV#2 WaveformAppear
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Dampened
st: NotStopd

id: IV #1 Insert Date
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 14
n2: 14
st: NotStopd

id: IV #1 Site/Size
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Hand
v2: 20 gauge
st: NotStopd

id: IV #4 Insert Date
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 13
n2: 13
st: NotStopd

id: IV #4 Site/Size
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: LL Post Forearm
v2: 20 gauge
st: NotStopd

id: IV Site Appear #1
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: IV Site Appear #4
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: Impaired Skin Site#1
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Incision/Wound #1
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: Intubation Date
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 11
n2: 11
st: NotStopd

id: LL Strength/Movement
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LLL Lung Sounds
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: LU Strength/Movement
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LUL Lung Sounds
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: Level of Conscious
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lethargic
st: NotStopd

id: Motor Response
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 5 Localizes Pain
st: NotStopd

id: O2 Delivery Device
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Nasal Cannula
st: NotStopd

id: O2 Flow (lpm) #2
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
u1: lpm
st: NotStopd

id: Oral Cavity
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Teeth/Tissue WNL
st: NotStopd

id: Orientation
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oriented x 1
st: NotStopd

id: Arterial BP
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 105
n1: 105
u1: mmHg
v2: 69
n2: 69
u2: mmHg
st: NotStopd

id: Pain Location
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Not Indicated
st: NotStopd

id: Pain Management
t0: [20:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
v1: IV Gtt
st: NotStopd

id: Arterial BP Mean
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 83
n1: 83
u1: mmHg
st: NotStopd

id: Position Change
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: PostTib. Pulses R/L
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Precautions
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: INV#2 Dsg Change
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Dsg Change
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Pupil Response R/L
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Brisk
v2: Brisk
st: NotStopd

id: Pupil Size R/L
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 3 mm
v2: 3 mm
st: NotStopd

id: RL Strength/Movement
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: RLL Lung Sounds
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: RU Strength/Movement
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: RUL Lung Sounds
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: Reason For Restraint
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Pattern
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 13
n1: 13
u1: BPM
st: NotStopd

id: Responds to Stimuli
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: Restraint Location
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Side Rails
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Skin Color
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal for Race
st: NotStopd

id: Skin Integrity
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Impaired
st: NotStopd

id: Skin Temp/Condition
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Warm
v2: Dry
st: NotStopd

id: SpO2
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 95
n1: 95
u1: %
st: NotStopd

id: Spontaneous Movement
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purposeful
st: NotStopd

id: Support Systems
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: INV#2 Cap Change
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 16
n2: 16
st: NotStopd

id: INV#2 Tubing Change
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 16
n2: 16
st: NotStopd

id: INV#4 Cap Change
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Tubing Change
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: Temp. Site
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oral
st: NotStopd

id: Temperature C (calc)
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 37.6667
n1: 37.6667
u1: Deg. C
st: NotStopd

id: Temperature F
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 99.8
n1: 99.8
u1: Deg. F
st: NotStopd

id: Urine Color/Appear
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yellow
v2: Clear
st: NotStopd

id: Urine Source
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Indwelling Cath
st: NotStopd

id: Verbal Response
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Confused
st: NotStopd

id: calprevflg
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Behavior
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Calm
st: NotStopd

id: Pt./Family Informed
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Bowel Sounds
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Present
st: NotStopd

id: JP DRAIN
t0: [20:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: intact

I/O Event

id: D5W 100.0ml
t0: [19:30:00 26/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 250
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [20:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [20:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [20:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

id: Urine Out Foley
t0: [20:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 220
vu: ml

Med Event

id: Fentanyl
t0: [20:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[20:54:00 26/02/2016] start prev next end

Chart Event

id: Service Type
t0: [21:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [21:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [21:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Agitated
st: NotStopd

id: Risk for Falls
t0: [21:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [21:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [21:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [21:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [21:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 105
n1: 105
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [21:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: Arterial BP
t0: [21:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 128
n1: 128
u1: mmHg
v2: 71
n2: 71
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [21:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 89
n1: 89
u1: mmHg
st: NotStopd

id: Precautions
t0: [21:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [21:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [21:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [21:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [21:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [21:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 12
n1: 12
u1: BPM
st: NotStopd

id: SpO2
t0: [21:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 95
n1: 95
u1: %
st: NotStopd

id: calprevflg
t0: [21:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Behavior
t0: [21:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Agitated
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [21:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [21:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [21:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

id: Urine Out Foley
t0: [21:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 160
vu: ml

Med Event

id: Fentanyl
t0: [21:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[21:44:00 26/02/2016] start prev next end

Chart Event

id: Service Type
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: HOB
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 30 degrees
st: NotStopd

id: Heart Rate
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Activity
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: Activity Tolerance
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: AntiEmbDevice/Status
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Arterial BP
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 109
n1: 109
u1: mmHg
v2: 73
n2: 73
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 87
n1: 87
u1: mmHg
st: NotStopd

id: Position
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Side
st: NotStopd

id: Assistance Device
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 11
n1: 11
u1: BPM
st: NotStopd

id: SpO2
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 94
n1: 94
u1: %
st: NotStopd

id: Therapeutic Bed
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Side to Side
st: NotStopd

id: calprevflg
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [21:00:00 26/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 150
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [22:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [22:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [22:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

id: Urine Out Foley
t0: [22:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 150
vu: ml

Med Event

id: Fentanyl
t0: [22:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[23:18:00 26/02/2016] start prev next end

Chart Event

id: Service Type
t0: [23:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [23:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [23:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [23:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [23:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [23:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [23:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 102
n1: 102
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [23:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: Arterial BP
t0: [23:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 114
n1: 114
u1: mmHg
v2: 73
n2: 73
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [23:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 88
n1: 88
u1: mmHg
st: NotStopd

id: Precautions
t0: [23:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [23:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [23:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [23:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [23:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [23:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 12
n1: 12
u1: BPM
st: NotStopd

id: SpO2
t0: [23:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 92
n1: 92
u1: %
st: NotStopd

id: calprevflg
t0: [23:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [22:00:00 26/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 100
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [23:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [23:00:00 26/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [23:00:00 26/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

id: Urine Out Foley
t0: [23:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 260
vu: ml

Med Event

id: Fentanyl
t0: [23:00:00 26/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[00:06:00 27/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Less Restrict Meas.
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Pain Present
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: No
st: NotStopd

id: Range of Motion
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Range of Motion
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Pain Assess Method
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pt Verbalized
st: NotStopd

id: Service Type
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Circulation/SkinInt
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Calm/Cooperative
st: NotStopd

id: Daily Wake Up
t0: [00:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Risk for Falls
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Diet Type
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: TPN
st: NotStopd

id: Dorsal PedPulse R/L
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Weak Palpable
v2: Weak Palpable
st: NotStopd

id: Ectopy Frequency
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Alarms
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: ON
st: NotStopd

id: Parameters Checked
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Barrier
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Altered LOC
st: NotStopd

id: Education Handout
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Not Given
st: NotStopd

id: Education Learner
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Patient
st: NotStopd

id: Education Method
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Explanation
st: NotStopd

id: Education Readiness
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Response
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Understands
st: NotStopd

id: Education Topic #1
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Activity
st: NotStopd

id: Education Topic #2
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medications
st: NotStopd

id: Extubation Date
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: Eye Care
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Eye Opening
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Spontaneously
st: NotStopd

id: Follows Commands
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Inconsistently
st: NotStopd

id: GCS Total
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 14
n1: 14
u1: points
st: NotStopd

id: HOB
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 30 degrees
st: NotStopd

id: Heart Rate
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: INV Line#2 Type/Site
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: A-Line
v2: Right Radial
st: NotStopd

id: INV Line#2InsertDate
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 11
n2: 11
st: NotStopd

id: INV Line#2SiteAppear
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: INV Line#4 Type/Site
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Multi-lumen
v2: Left Subclavian
st: NotStopd

id: INV Line#4InsertDate
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 12
n2: 12
st: NotStopd

id: INV Line#4SiteAppear
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Redness
st: NotStopd

id: Abdominal Assessment
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft
st: NotStopd

id: IV #1 Insert Date
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 14
n2: 14
st: NotStopd

id: IV #1 Site/Size
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Hand
v2: 20 gauge
st: NotStopd

id: IV #4 Insert Date
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 13
n2: 13
st: NotStopd

id: IV #4 Site/Size
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: LL Post Forearm
v2: 20 gauge
st: NotStopd

id: Activity
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: IV Site Appear #1
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: IV Site Appear #4
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: Activity Tolerance
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: Impaired Skin Site#1
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Incision/Wound #1
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: Intubation Date
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 11
n2: 11
st: NotStopd

id: LL Strength/Movement
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LLL Lung Sounds
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: LU Strength/Movement
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LUL Lung Sounds
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: Level of Conscious
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Alert
st: NotStopd

id: Motor Response
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 6 Obeys Commands
st: NotStopd

id: O2 Delivery Device
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Nasal Cannula
st: NotStopd

id: O2 Flow (lpm) #2
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
u1: lpm
st: NotStopd

id: Oral Cavity
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Teeth/Tissue WNL
st: NotStopd

id: Orientation
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oriented x 1
st: NotStopd

id: AntiEmbDevice/Status
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Arterial BP
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 121
n1: 121
u1: mmHg
v2: 74
n2: 74
u2: mmHg
st: NotStopd

id: Pain Location
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Not Indicated
st: NotStopd

id: Pain Type
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Arterial BP Mean
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
st: NotStopd

id: Position
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Supine
st: NotStopd

id: Position Change
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Position Change
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: PostTib. Pulses R/L
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Assistance Device
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1 Person Assist
st: NotStopd

id: Precautions
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: INV#2 Dsg Change
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Dsg Change
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Pupil Response R/L
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Brisk
v2: Brisk
st: NotStopd

id: Pupil Size R/L
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 3 mm
v2: 3 mm
st: NotStopd

id: RL Strength/Movement
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: RLL Lung Sounds
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: RU Strength/Movement
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: RUL Lung Sounds
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: Reason For Restraint
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Reason For Restraint
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Removed x 5 Mins
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Pattern
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 14
n1: 14
u1: BPM
st: NotStopd

id: Responds to Stimuli
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: Restraint Location
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Location
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraint Type
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Restraints Evaluated
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Side Rails
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Side Rails
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Skin Color
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Flushed
st: NotStopd

id: Skin Integrity
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Impaired
st: NotStopd

id: Skin Temp/Condition
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Warm
v2: Dry
st: NotStopd

id: SpO2
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: %
st: NotStopd

id: Spontaneous Movement
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purposeful
st: NotStopd

id: Support Systems
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: INV#2 Cap Change
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 16
n2: 16
st: NotStopd

id: INV#2 Tubing Change
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 16
n2: 16
st: NotStopd

id: INV#4 Cap Change
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Tubing Change
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: Temp. Site
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oral
st: NotStopd

id: Temperature C (calc)
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 37.0556
n1: 37.0556
u1: Deg. C
st: NotStopd

id: Temperature F
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98.7
n1: 98.7
u1: Deg. F
st: NotStopd

id: Therapeutic Bed
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Back
st: NotStopd

id: Urine Color/Appear
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yellow
v2: Clear
st: NotStopd

id: Urine Source
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Indwelling Cath
st: NotStopd

id: Verbal Response
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Confused
st: NotStopd

id: calprevflg
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Pt./Family Informed
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Pt./Family Informed
t0: [22:00:00 26/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Fingerstick Glucose
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 123
n1: 123
rs: Manual
st: NotStopd

id: Bowel Sounds
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Present
st: NotStopd

id: JP DRAIN
t0: [00:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: intact

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [00:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [00:00:00 27/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [00:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

id: Urine Out Foley
t0: [00:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 100
vu: ml

Med Event

id: Fentanyl
t0: [00:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[01:15:00 27/02/2016] start prev next end

Chart Event

id: Service Type
t0: [01:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [01:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [01:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [01:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [01:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [01:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [01:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 95
n1: 95
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [01:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Arterial BP
t0: [01:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 91
n1: 91
u1: mmHg
v2: 62
n2: 62
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [01:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 74
n1: 74
u1: mmHg
st: NotStopd

id: Precautions
t0: [01:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [01:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [01:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [01:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [01:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [01:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 13
n1: 13
u1: BPM
st: NotStopd

id: SpO2
t0: [01:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: calprevflg
t0: [01:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

Med Event

id: Fentanyl
t0: [01:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[01:57:00 27/02/2016] start prev next end

Chart Event

id: Service Type
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Arterial BP
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: mmHg
v2: 61
n2: 61
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 75
n1: 75
u1: mmHg
st: NotStopd

id: Precautions
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 12
n1: 12
u1: BPM
st: NotStopd

id: calprevflg
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [00:00:00 27/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 150
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [01:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [02:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [01:00:00 27/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: TPN 1000.0ml
t0: [02:00:00 27/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [01:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [02:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

Med Event

id: Fentanyl
t0: [02:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[02:08:00 27/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Range of Motion
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Not Done
st: NotStopd

id: Circulation/SkinInt
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Level of Conscious
t0: [01:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sleeping
st: NotStopd

id: Level of Conscious
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sleeping
st: NotStopd

id: Position Change
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Reason For Restraint
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Not Done
st: NotStopd

id: Restraint Location
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Side Rails
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Pt./Family Informed
t0: [02:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [02:00:00 27/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 50
vu: ml

id: Urine Out Foley
t0: [01:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 250
vu: ml

id: Urine Out Foley
t0: [02:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 250
vu: ml

[03:31:00 27/02/2016] start prev next end

Chart Event

id: Service Type
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 94
n1: 94
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Arterial BP
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: mmHg
v2: 62
n2: 62
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 75
n1: 75
u1: mmHg
st: NotStopd

id: Precautions
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 13
n1: 13
u1: BPM
st: NotStopd

id: SpO2
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: calprevflg
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [03:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [03:00:00 27/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [03:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

Med Event

id: Fentanyl
t0: [03:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[03:48:00 27/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Pain Present
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: No
st: NotStopd

id: Range of Motion
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Pain Assess Method
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pt Verbalized
st: NotStopd

id: Service Type
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Calm/Cooperative
st: NotStopd

id: Daily Wake Up
t0: [04:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Risk for Falls
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Diet Type
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: TPN
st: NotStopd

id: Dorsal PedPulse R/L
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Weak Palpable
v2: Weak Palpable
st: NotStopd

id: Ectopy Frequency
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Education Barrier
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Altered LOC
st: NotStopd

id: Education Handout
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Not Given
st: NotStopd

id: Education Learner
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Patient
st: NotStopd

id: Education Method
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Explanation
st: NotStopd

id: Education Readiness
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Response
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Understands
st: NotStopd

id: Education Topic #1
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Activity
st: NotStopd

id: Education Topic #2
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medications
st: NotStopd

id: Extubation Date
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: Eye Opening
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Spontaneously
st: NotStopd

id: Follows Commands
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Inconsistently
st: NotStopd

id: GCS Total
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 14
n1: 14
u1: points
st: NotStopd

id: Heart Rate
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 105
n1: 105
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: INV Line#2 Type/Site
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: A-Line
v2: Right Radial
st: NotStopd

id: INV Line#2InsertDate
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 11
n2: 11
st: NotStopd

id: INV Line#2SiteAppear
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: INV Line#4 Type/Site
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Multi-lumen
v2: Left Subclavian
st: NotStopd

id: INV Line#4InsertDate
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 12
n2: 12
st: NotStopd

id: INV Line#4SiteAppear
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Redness
st: NotStopd

id: Abdominal Assessment
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft
st: NotStopd

id: IV #1 Insert Date
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 14
n2: 14
st: NotStopd

id: IV #1 Site/Size
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Hand
v2: 20 gauge
st: NotStopd

id: IV #4 Insert Date
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 13
n2: 13
st: NotStopd

id: IV #4 Site/Size
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: LL Post Forearm
v2: 20 gauge
st: NotStopd

id: IV Site Appear #1
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: IV Site Appear #4
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: Impaired Skin Site#1
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Incision/Wound #1
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: Intubation Date
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 11
n2: 11
st: NotStopd

id: LL Strength/Movement
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LLL Lung Sounds
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: LU Strength/Movement
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LUL Lung Sounds
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: Level of Conscious
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Alert
st: NotStopd

id: Motor Response
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 6 Obeys Commands
st: NotStopd

id: O2 Delivery Device
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Nasal Cannula
st: NotStopd

id: O2 Flow (lpm) #2
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
u1: lpm
st: NotStopd

id: Oral Cavity
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Teeth/Tissue WNL
st: NotStopd

id: Orientation
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oriented x 1
st: NotStopd

id: Arterial BP
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 112
n1: 112
u1: mmHg
v2: 69
n2: 69
u2: mmHg
st: NotStopd

id: Pain Location
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Not Indicated
st: NotStopd

id: Pain Type
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Arterial BP Mean
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 84
n1: 84
u1: mmHg
st: NotStopd

id: Position Change
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: PostTib. Pulses R/L
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Weak Palpable
v2: Weak Palpable
st: NotStopd

id: Precautions
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: INV#2 Dsg Change
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Dsg Change
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Pupil Response R/L
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Brisk
v2: Brisk
st: NotStopd

id: Pupil Size R/L
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 3 mm
v2: 3 mm
st: NotStopd

id: RL Strength/Movement
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: RLL Lung Sounds
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: RU Strength/Movement
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: RUL Lung Sounds
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: Reason For Restraint
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Pattern
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 14
n1: 14
u1: BPM
st: NotStopd

id: Responds to Stimuli
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: Restraint Location
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Side Rails
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: SpO2
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 96
n1: 96
u1: %
st: NotStopd

id: Spontaneous Movement
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purposeful
st: NotStopd

id: Support Systems
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: INV#2 Cap Change
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 16
n2: 16
st: NotStopd

id: INV#2 Tubing Change
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 16
n2: 16
st: NotStopd

id: INV#4 Cap Change
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Tubing Change
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: Temp. Site
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oral
st: NotStopd

id: Temperature C (calc)
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 36.5
n1: 36.5
u1: Deg. C
st: NotStopd

id: Temperature F
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97.7
n1: 97.7
u1: Deg. F
st: NotStopd

id: Urine Color/Appear
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yellow
v2: Clear
st: NotStopd

id: Urine Source
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Indwelling Cath
st: NotStopd

id: Verbal Response
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Confused
st: NotStopd

id: calprevflg
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Pt./Family Informed
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Bowel Sounds
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Present
st: NotStopd

id: JP DRAIN
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: intact

I/O Event

id: D5W 100.0ml
t0: [04:00:00 27/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 100
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [04:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [04:00:00 27/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [04:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

id: Urine Out Foley
t0: [03:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 200
vu: ml

id: Urine Out Foley
t0: [04:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 160
vu: ml

Med Event

id: Fentanyl
t0: [04:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[04:37:00 27/02/2016] start prev next end

Chart Event

id: WBC   (4-11,000)
t0: [03:34:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 5.8
n1: 5.8
rs: Final
st: NotStopd

id: WBC
t0: [03:34:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 5.8
n1: 5.8
rs: Final
st: NotStopd

id: Hematocrit
t0: [03:34:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 30.7
n1: 30.7
u1: %
rs: Final
st: NotStopd

id: Hemoglobin
t0: [03:34:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 10.8
n1: 10.8
u1: gm/dl
rs: Final
st: NotStopd

id: Platelets
t0: [03:34:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 171
n1: 171
rs: Final
st: NotStopd

id: RBC
t0: [03:34:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 3.35
n1: 3.35
u1: /mic l
rs: Final
st: NotStopd

id: WBC (4-11,000)
t0: [03:34:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 5.8
n1: 5.8
rs: Final
st: NotStopd

Total I/O Event

id: IV Infusion In Total
t0: [23:00:00 26/02/2016]
el: 3
cg: 3161
cu: CSRU
pv: 12.5
cv: 2050.76
ac: 24
ap: none
re: 0

id: IV Nutrition Total
t0: [23:00:00 26/02/2016]
el: 3
cg: 3161
cu: CSRU
pv: 75
cv: 1800
ac: 24
ap: none
re: 0

id: 24h Total In
t0: [23:00:00 26/02/2016]
el: 3
cg: 3161
cu: CSRU
pv: 87.5
cv: 3850.76
ac: 24
ap: none
re: 0

id: 24h Net Body Balance
t0: [23:00:00 26/02/2016]
el: 3
cg: 3161
cu: CSRU
pv: -172.5
cv: -1424.24
ac: 24
ap: carryForward
re: 0

id: LOS Net Body Balance
t0: [23:00:00 26/02/2016]
el: 3
cg: 3161
cu: CSRU
pv: -172.5
cv: 4881.6
ac: multiple days
ap: carryForward
re: 0

id: Net Hourly Balance
t0: [23:00:00 26/02/2016]
el: 3
cg: 3161
cu: CSRU
pv: -172.5
cv: -172.5
ac: 1
ap: none
re: 0

id: Drain #1 Total Out
t0: [23:00:00 26/02/2016]
el: 3
cg: 3161
cu: CSRU
cv: 15
ac: 24
ap: none
re: 0

[04:57:00 27/02/2016] start prev next end

Chart Event

id: Service Type
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 105
n1: 105
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: Arterial BP
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 119
n1: 119
u1: mmHg
v2: 68
n2: 68
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
st: NotStopd

id: Precautions
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 15
n1: 15
u1: BPM
st: NotStopd

id: SpO2
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: calprevflg
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [05:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [05:00:00 27/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [05:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

id: Urine Out Foley
t0: [05:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 230
vu: ml

Med Event

id: Fentanyl
t0: [05:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[04:58:00 27/02/2016] start prev next end

Chart Event

id: HOB
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 30 degrees
st: NotStopd

id: HOB
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 30 degrees
st: NotStopd

id: Activity
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: Activity
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: Activity Tolerance
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: Activity Tolerance
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: AntiEmbDevice/Status
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: AntiEmbDevice/Status
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Position
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Left Side
st: NotStopd

id: Position
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Supine
st: NotStopd

id: Assistance Device
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Assistance Device
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Skin Care
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Therapeutic Bed
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Therapeutic Bed
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Logroll
st: NotStopd

id: Turn
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Back
st: NotStopd

id: Back Care
t0: [03:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

[05:00:00 27/02/2016] start prev next end

Physician Order

pi: 4538597
hi: 27155
t0: [06:00:00 27/02/2016]
tf: [05:00:00 28/02/2016]
mn: Calcium Gluconate
pt: Unit Dose
st: Expired
rt: IV
fr: ONCE
ds: 6
dn: 1
dt: 1
di: Doses
xv: 36
xu: Hours

pi: 4538598
hi: 27155
t0: [06:00:00 27/02/2016]
tf: [05:00:00 28/02/2016]
mn: Potassium Chloride
pt: IV Piggyback
st: Expired
rt: IV
fr: ONCE
ds: 6
dn: 1
dt: 1
di: Doses
xv: 36
xu: Hours

[05:23:00 27/02/2016] start prev next end

Chart Event

id: Chloride
t0: [03:34:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 116
n1: 116
rs: Final
st: NotStopd

id: Sodium
t0: [03:34:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 141
n1: 141
rs: Final
st: NotStopd

id: Chloride (100-112)
t0: [03:34:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 116
n1: 116
rs: Final
st: NotStopd

id: Sodium (135-148)
t0: [03:34:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 141
n1: 141
rs: Final
st: NotStopd

[05:42:00 27/02/2016] start prev next end

Chart Event

id: Imp Skin Cleanse #1
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soap & H20
st: NotStopd

id: ImpSkin Character #1
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abrasion
st: NotStopd

id: ImpSkin Drain/Amt#1
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Serosanguinous
v2: Scant
st: NotStopd

id: ImpSkin Treatment #1
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Other/Remarks
st: NotStopd

id: ImpSkin Wound Base#1
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Red
st: NotStopd

id: Skin Color
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Flushed
st: NotStopd

id: Skin Integrity
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Impaired
st: NotStopd

id: Skin Temp/Condition
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Warm
v2: Dry
st: NotStopd

[05:53:00 27/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Range of Motion
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Service Type
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Alarms
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: ON
st: NotStopd

id: Parameters Checked
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Oral Care
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Arterial BP
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 104
n1: 104
u1: mmHg
v2: 68
n2: 68
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 83
n1: 83
u1: mmHg
st: NotStopd

id: Position Change
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Precautions
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Reason For Restraint
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Rate
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 16
n1: 16
u1: BPM
st: NotStopd

id: Restraint Location
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Behavior Conts
st: NotStopd

id: Side Rails
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: SpO2
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 95
n1: 95
u1: %
st: NotStopd

id: calprevflg
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Pt./Family Informed
t0: [06:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [06:00:00 27/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 100
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [06:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [06:00:00 27/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [06:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

id: Urine Out Foley
t0: [06:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 160
vu: ml

Med Event

id: Fentanyl
t0: [06:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[05:58:00 27/02/2016] start prev next end

Chart Event

id: BUN
t0: [05:18:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 13
n1: 13
rs: Final
st: NotStopd

id: Calcium
t0: [05:18:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 8.6
n1: 8.6
u1: mg/dl
rs: Final
st: NotStopd

id: Chloride
t0: [05:18:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 100
n1: 100
rs: Final
st: NotStopd

id: Creatinine
t0: [05:18:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 0.3
n1: 0.3
rs: Final
st: NotStopd

id: Glucose
t0: [05:18:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 116
n1: 116
rs: Final
st: NotStopd

id: Magnesium
t0: [05:18:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 1.8
n1: 1.8
rs: Final
st: NotStopd

id: Phosphorous
t0: [05:18:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 4.6
n1: 4.6
u1: mEq/L
rs: Final
st: NotStopd

id: Potassium
t0: [05:18:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 4
n1: 4
rs: Final
st: NotStopd

id: Sodium
t0: [05:18:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 133
n1: 133
rs: Final
st: NotStopd

id: BUN (6-20)
t0: [05:18:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 13
n1: 13
rs: Final
st: NotStopd

id: Calcium (8.4-10.2)
t0: [05:18:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 8.6
n1: 8.6
u1: mg/dl
rs: Final
st: NotStopd

id: Carbon Dioxide
t0: [05:18:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 25
n1: 25
rs: Final
st: NotStopd

id: Chloride (100-112)
t0: [05:18:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 100
n1: 100
rs: Final
st: NotStopd

id: Creatinine (0-1.3)
t0: [05:18:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 0.3
n1: 0.3
rs: Final
st: NotStopd

id: Glucose (70-105)
t0: [05:18:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 116
n1: 116
rs: Final
st: NotStopd

id: Magnesium (1.6-2.6)
t0: [05:18:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 1.8
n1: 1.8
rs: Final
st: NotStopd

id: Phosphorous(2.7-4.5)
t0: [05:18:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 4.6
n1: 4.6
u1: mEq/L
rs: Final
st: NotStopd

id: Potassium (3.5-5.3)
t0: [05:18:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 4
n1: 4
rs: Final
st: NotStopd

id: Sodium (135-148)
t0: [05:18:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 133
n1: 133
rs: Final
st: NotStopd

[06:05:00 27/02/2016] start prev next end

Chart Event

id: Inc Cleansing #1
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Saline
st: NotStopd

id: Inc Drainage/Amt #1
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purulent
v2: Scant
st: NotStopd

id: Inc Dsg/Status #1
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Dry Sterile Dsg
v2: Changed
st: NotStopd

id: Braden Activity
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedfast
st: NotStopd

id: Braden Frict/Shear
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Problem
st: NotStopd

id: Braden Mobility
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sl. Limited
st: NotStopd

id: Braden Moisture
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Occ. Moist
st: NotStopd

id: Braden Nutrition
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Prob. Inadequate
st: NotStopd

id: Braden Score
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 13
n1: 13
u1: number
st: NotStopd

id: Braden SensoryPercep
t0: [04:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sl. Limited
st: NotStopd

[06:35:00 27/02/2016] start prev next end

Chart Event

id: Glucose
t0: [03:34:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 76
n1: 76
rs: Final
st: NotStopd

id: Glucose (70-105)
t0: [03:34:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 76
n1: 76
rs: Final
st: NotStopd

[06:36:00 27/02/2016] start prev next end

I/O Event

id: D5W 100.0ml
t0: [06:30:00 27/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 50
vu: ml

[06:47:00 27/02/2016] start prev next end

Chart Event

id: Service Type
t0: [07:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [07:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [07:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [07:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [07:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [07:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [07:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 99
n1: 99
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [07:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Arterial BP
t0: [07:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 102
n1: 102
u1: mmHg
v2: 58
n2: 58
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [07:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 72
n1: 72
u1: mmHg
st: NotStopd

id: Precautions
t0: [07:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [07:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [07:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [07:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [07:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [07:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 16
n1: 16
u1: BPM
st: NotStopd

id: SpO2
t0: [07:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: calprevflg
t0: [07:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Behavior
t0: [05:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Agitated
st: NotStopd

id: Behavior
t0: [07:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sleeping
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [07:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [07:00:00 27/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [07:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

Med Event

id: Fentanyl
t0: [07:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[06:48:00 27/02/2016] start prev next end

I/O Event

id: Urine Out Foley
t0: [07:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 120
vu: ml

[06:51:00 27/02/2016] start prev next end

Chart Event

id: BUN
t0: [03:34:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 9
n1: 9
rs: Final
st: NotStopd

id: Creatinine
t0: [03:34:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 0.1
n1: 0.1
rs: Final
st: NotStopd

id: Magnesium
t0: [03:34:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 1.2
n1: 1.2
rs: Final
st: NotStopd

id: Phosphorous
t0: [03:34:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 2.9
n1: 2.9
u1: mEq/L
rs: Final
st: NotStopd

id: BUN (6-20)
t0: [03:34:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 9
n1: 9
rs: Final
st: NotStopd

id: Carbon Dioxide
t0: [03:34:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 17
n1: 17
rs: Final
st: NotStopd

id: Creatinine (0-1.3)
t0: [03:34:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 0.1
n1: 0.1
rs: Final
st: NotStopd

id: Magnesium (1.6-2.6)
t0: [03:34:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 1.2
n1: 1.2
rs: Final
st: NotStopd

id: Phosphorous(2.7-4.5)
t0: [03:34:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 2.9
n1: 2.9
u1: mEq/L
rs: Final
st: NotStopd

[07:56:00 27/02/2016] start prev next end

Chart Event

id: Art.pH
t0: [07:55:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 7.47
n1: 7.47
rs: Final
st: NotStopd

id: Arterial Base Excess
t0: [07:55:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: no data
rs: Final
st: NotStopd

id: Arterial CO2(Calc)
t0: [07:55:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: no data
rs: Final
st: NotStopd

id: Arterial PaCO2
t0: [07:55:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
u1: mmHg
rs: Final
st: NotStopd

id: Arterial PaO2
t0: [07:55:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
u1: mmHg
rs: Final
st: NotStopd

id: Arterial pH
t0: [07:55:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 7.47
n1: 7.47
rs: Final
st: NotStopd

id: Ionized Calcium
t0: [07:55:00 27/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 1.19
n1: 1.19
rs: Final
st: NotStopd

[08:01:00 27/02/2016] start prev next end

Chart Event

id: Pain Present
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: No
st: NotStopd

id: Pain Assess Method
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Non-verbal cues
st: NotStopd

id: Service Type
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Calm/Cooperative
st: NotStopd

id: Daily Wake Up
t0: [08:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
v1: No/Not Sedated
st: NotStopd

id: Risk for Falls
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Diet Type
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: TPN
st: NotStopd

id: Dorsal PedPulse R/L
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Ectopy Frequency
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Topic #1
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Activity
st: NotStopd

id: Eye Opening
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Spontaneously
st: NotStopd

id: Follows Commands
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Inconsistently
st: NotStopd

id: GCS Total
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 14
n1: 14
u1: points
st: NotStopd

id: HOB
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 30 degrees
st: NotStopd

id: Heart Rate
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 107
n1: 107
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: INV Line#2 Type/Site
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: A-Line
v2: Right Radial
st: NotStopd

id: INV Line#2 Zero/Cal
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: INV Line#2InsertDate
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 11
n2: 11
st: NotStopd

id: INV Line#2SiteAppear
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: INV Line#4 Type/Site
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Multi-lumen
v2: Left Subclavian
st: NotStopd

id: INV Line#4InsertDate
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 12
n2: 12
st: NotStopd

id: Abdominal Assessment
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft
st: NotStopd

id: INV#2 WaveformAppear
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sharp
st: NotStopd

id: IV #1 Insert Date
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 14
n2: 14
st: NotStopd

id: IV #1 Site/Size
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Hand
v2: 20 gauge
st: NotStopd

id: IV #4 Insert Date
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 13
n2: 13
st: NotStopd

id: IV #4 Site/Size
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: LL Post Forearm
v2: 20 gauge
st: NotStopd

id: Activity
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: IV Site Appear #1
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: IV Site Appear #4
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: Activity Tolerance
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: Impaired Skin Site#1
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Incision/Wound #1
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: LL Strength/Movement
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LLL Lung Sounds
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: LU Strength/Movement
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LUL Lung Sounds
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: Level of Conscious
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Alert
st: NotStopd

id: Motor Response
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 6 Obeys Commands
st: NotStopd

id: Oral Cavity
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Teeth/Tissue WNL
st: NotStopd

id: Orientation
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oriented x 2
st: NotStopd

id: AntiEmbDevice/Status
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Arterial BP
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 130
n1: 130
u1: mmHg
v2: 77
n2: 77
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 94
n1: 94
u1: mmHg
st: NotStopd

id: Position
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Supine
st: NotStopd

id: PostTib. Pulses R/L
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Assistance Device
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1 Person Assist
st: NotStopd

id: Precautions
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: INV#2 Dsg Change
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Dsg Change
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Pupil Response R/L
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Brisk
v2: Brisk
st: NotStopd

id: Pupil Size R/L
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 3 mm
v2: 3 mm
st: NotStopd

id: RL Strength/Movement
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: RLL Lung Sounds
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: RU Strength/Movement
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: RUL Lung Sounds
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: Respiratory Pattern
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 18
n1: 18
u1: BPM
st: NotStopd

id: Responds to Stimuli
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: Side Rails
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Skin Integrity
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Impaired
st: NotStopd

id: SpO2
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: Spontaneous Movement
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purposeful
st: NotStopd

id: Support Systems
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: INV#2 Cap Change
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 16
n2: 16
st: NotStopd

id: INV#2 Tubing Change
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 16
n2: 16
st: NotStopd

id: INV#4 Cap Change
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Tubing Change
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: Temp. Site
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Axillary
st: NotStopd

id: Temperature C (calc)
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 36.7778
n1: 36.7778
u1: Deg. C
st: NotStopd

id: Temperature F
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98.2
n1: 98.2
u1: Deg. F
st: NotStopd

id: Therapeutic Bed
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Airbed/Kinair
st: NotStopd

id: Turn
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Back
st: NotStopd

id: Urine Color/Appear
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yellow
v2: Clear
st: NotStopd

id: Urine Source
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Indwelling Cath
st: NotStopd

id: Verbal Response
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Confused
st: NotStopd

id: calprevflg
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Behavior
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Calm
st: NotStopd

id: Bowel Sounds
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Present
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [08:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [08:00:00 27/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [08:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 2.5
vu: ml

id: Urine Out Foley
t0: [08:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 200
vu: ml

Med Event

id: Fentanyl
t0: [08:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

[09:50:00 27/02/2016] start prev next end

Chart Event

id: Service Type
t0: [09:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Service Type
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [09:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Code Status
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [09:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Risk for Falls
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [09:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Frequency
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [09:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Alarms
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: ON
st: NotStopd

id: Parameters Checked
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [09:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [09:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: BPM
st: NotStopd

id: Heart Rate
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [09:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Heart Rhythm
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Arterial BP
t0: [09:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 114
n1: 114
u1: mmHg
v2: 63
n2: 63
u2: mmHg
st: NotStopd

id: Arterial BP
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 112
n1: 112
u1: mmHg
v2: 63
n2: 63
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [09:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 78
n1: 78
u1: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 77
n1: 77
u1: mmHg
st: NotStopd

id: Precautions
t0: [09:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: Precautions
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [09:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [09:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [09:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [09:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [09:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 16
n1: 16
u1: BPM
st: NotStopd

id: Respiratory Rate
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 17
n1: 17
u1: BPM
st: NotStopd

id: SpO2
t0: [09:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: SpO2
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: calprevflg
t0: [09:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: calprevflg
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [10:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 20
vu: ml

id: TPN 1000.0ml
t0: [10:00:00 27/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 150
vu: ml

id: Urine Out Foley
t0: [10:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 300
vu: ml

Med Event

id: Fentanyl
t0: [09:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip

id: Fentanyl
t0: [10:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 0
do: 25
du: mcghr
so: .9% Normal Saline
sv: 250
su: ml
rt: IV Drip
st: Stopped

[11:56:00 27/02/2016] start prev next end

Chart Event

id: Fingerstick Glucose
t0: [12:00:00 27/02/2016]
el: 0
cg: CoWker
cu: CSRU
v1: 135
n1: 135
rs: Manual
st: NotStopd

[12:02:00 27/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Orientation
st: NotStopd

id: Less Restrict Meas.
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Orientation
st: NotStopd

id: Less Restrict Meas.
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Orientation
st: NotStopd

id: Range of Motion
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Range of Motion
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Range of Motion
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Service Type
t0: [11:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Service Type
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Circulation/SkinInt
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Circulation/SkinInt
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [11:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Code Status
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [11:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Risk for Falls
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Diet Type
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: TPN
st: NotStopd

id: Ectopy Frequency
t0: [11:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Frequency
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [11:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [11:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Topic #1
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Activity
st: NotStopd

id: Education Topic #1
t0: [11:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Activity
st: NotStopd

id: Education Topic #1
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Activity
st: NotStopd

id: Eye Opening
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Spontaneously
st: NotStopd

id: Follows Commands
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Inconsistently
st: NotStopd

id: GCS Total
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 14
n1: 14
u1: points
st: NotStopd

id: Heart Rate
t0: [11:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 102
n1: 102
u1: BPM
st: NotStopd

id: Heart Rate
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [11:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: Heart Rhythm
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Abdominal Assessment
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft
st: NotStopd

id: Activity
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Chair
st: NotStopd

id: Impaired Skin Site#1
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Impaired Skin Site#1
t0: [11:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Impaired Skin Site#1
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Incision/Wound #1
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: Incision/Wound #1
t0: [11:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: Incision/Wound #1
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: LL Strength/Movement
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LLL Lung Sounds
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: LU Strength/Movement
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LUL Lung Sounds
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: Level of Conscious
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Alert
st: NotStopd

id: Motor Response
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 6 Obeys Commands
st: NotStopd

id: Oral Cavity
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Teeth/Tissue WNL
st: NotStopd

id: Orientation
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oriented x 2
st: NotStopd

id: Arterial BP
t0: [11:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 110
n1: 110
u1: mmHg
v2: 64
n2: 64
u2: mmHg
st: NotStopd

id: Arterial BP
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 108
n1: 108
u1: mmHg
v2: 70
n2: 70
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 83
n1: 83
u1: mmHg
st: NotStopd

id: Position Change
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Position Change
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Position Change
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Precautions
t0: [11:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: Precautions
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [11:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [11:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [11:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [11:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: RLL Lung Sounds
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: RUL Lung Sounds
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: Reason For Restraint
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Reason For Restraint
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Reason For Restraint
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Removed x 5 Mins
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Removed x 5 Mins
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Pattern
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [11:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 18
n1: 18
u1: BPM
st: NotStopd

id: Respiratory Rate
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 16
n1: 16
u1: BPM
st: NotStopd

id: Responds to Stimuli
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: Restraint Location
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Location
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Location
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraint Type
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraint Type
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Behavior Conts
st: NotStopd

id: Restraints Evaluated
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Behavior Conts
st: NotStopd

id: Restraints Evaluated
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Behavior Conts
st: NotStopd

id: Side Rails
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Side Rails
t0: [11:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Side Rails
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: SpO2
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: Spontaneous Movement
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purposeful
st: NotStopd

id: Support Systems
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: Support Systems
t0: [11:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: Support Systems
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: Therapeutic Bed
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Airbed/Kinair
st: NotStopd

id: Urine Color/Appear
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yellow
v2: Clear
st: NotStopd

id: Urine Source
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Indwelling Cath
st: NotStopd

id: Verbal Response
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Confused
st: NotStopd

id: calprevflg
t0: [11:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: calprevflg
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Behavior
t0: [11:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Calm
st: NotStopd

id: Pt./Family Informed
t0: [08:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Pt./Family Informed
t0: [10:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Pt./Family Informed
t0: [11:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Pt./Family Informed
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Bowel Sounds
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Present
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [10:00:00 27/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 250
vu: ml

id: D5W 100.0ml
t0: [11:00:00 27/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 100
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [12:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 20
vu: ml

id: TPN 1000.0ml
t0: [12:00:00 27/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 150
vu: ml

id: Urine Out Foley
t0: [12:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 250
vu: ml

Total I/O Event

id: IV Infusion In Total
t0: [23:00:00 27/02/2016]
el: 3
cg: RN
cu: CSRU
pv: 110
cv: 1662.5
ac: 24
ap: none
re: 0

id: IV Nutrition Total
t0: [23:00:00 27/02/2016]
el: 3
cg: RN
cu: CSRU
pv: 42
cv: 1701
ac: 24
ap: none
re: 0

id: 24h Total In
t0: [23:00:00 27/02/2016]
el: 3
cg: RN
cu: CSRU
pv: 152
cv: 3363.5
ac: 24
ap: none
re: 0

id: Total Hourly Output
t0: [23:00:00 27/02/2016]
el: 3
cg: RN
cu: CSRU
pv: 300
cv: 300
ac: 1
ap: none
re: 0

id: Urine Out Total
t0: [23:00:00 27/02/2016]
el: 3
cg: RN
cu: CSRU
pv: 300
cv: 4460
ac: 24
ap: none
re: 0

id: 24h Net Body Balance
t0: [23:00:00 27/02/2016]
el: 3
cg: RN
cu: CSRU
pv: -148
cv: -1116.5
ac: 24
ap: carryForward
re: 0

id: LOS Net Body Balance
t0: [23:00:00 27/02/2016]
el: 3
cg: RN
cu: CSRU
pv: -148
cv: 3765.1
ac: multiple days
ap: carryForward
re: 0

id: Net Hourly Balance
t0: [23:00:00 27/02/2016]
el: 3
cg: RN
cu: CSRU
pv: -148
cv: -148
ac: 1
ap: none
re: 0

id: 24h Total Out
t0: [23:00:00 27/02/2016]
el: 3
cg: RN
cu: CSRU
pv: 300
cv: 4480
ac: 24
ap: carryForward
re: 0

[14:40:00 27/02/2016] start prev next end

Chart Event

id: Pain Level/Response
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2-Mild
st: NotStopd

id: Pain Level/Response
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2-Mild
st: NotStopd

id: Pain Present
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Pain Present
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Pain Assess Method
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Non-verbal cues
st: NotStopd

id: Pain Assess Method
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pt Verbalized
st: NotStopd

id: PainLevel Acceptable
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: PainLevel Acceptable
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Service Type
t0: [13:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Service Type
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [13:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Code Status
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Calm/Cooperative
st: NotStopd

id: Riker-SAS Scale
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Calm/Cooperative
st: NotStopd

id: Daily Wake Up
t0: [12:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
v1: No/Not Sedated
st: NotStopd

id: Daily Wake Up
t0: [14:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
v1: No/Not Sedated
st: NotStopd

id: Risk for Falls
t0: [13:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Risk for Falls
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [13:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Frequency
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [13:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [13:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [13:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 95
n1: 95
u1: BPM
st: NotStopd

id: Heart Rate
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 95
n1: 95
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [13:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Heart Rhythm
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Arterial BP
t0: [13:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 130
n1: 130
u1: mmHg
v2: 83
n2: 83
u2: mmHg
st: NotStopd

id: Arterial BP
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 127
n1: 127
u1: mmHg
v2: 77
n2: 77
u2: mmHg
st: NotStopd

id: Pain Management
t0: [12:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
v1: IV Push
v2: IV Push
st: NotStopd

id: Pain Management
t0: [14:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
v1: IV Push
v2: IV Push
st: NotStopd

id: Arterial BP Mean
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 94
n1: 94
u1: mmHg
st: NotStopd

id: Precautions
t0: [13:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: Precautions
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [13:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [13:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [13:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [13:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 16
n1: 16
u1: BPM
st: NotStopd

id: SpO2
t0: [13:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: SpO2
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 99
n1: 99
u1: %
st: NotStopd

id: calprevflg
t0: [13:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: calprevflg
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [14:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 20
vu: ml

id: TPN 1000.0ml
t0: [14:00:00 27/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 150
vu: ml

id: Urine Out Foley
t0: [14:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 240
vu: ml

[15:24:00 27/02/2016] start prev next end

I/O Event

id: Urine Out Foley
t0: [15:00:00 27/02/2016]
el: 1
cg: CoWker
cu: CSRU
vo: 360
vu: ml

[16:15:00 27/02/2016] start prev next end

Chart Event

id: Service Type
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Service Type
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Code Status
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Risk for Falls
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Diet Type
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: TPN
st: NotStopd

id: Dorsal PedPulse R/L
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Ectopy Frequency
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Frequency
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Alarms
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: ON
st: NotStopd

id: Parameters Checked
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Topic #1
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Activity
st: NotStopd

id: Eye Opening
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Spontaneously
st: NotStopd

id: Follows Commands
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Inconsistently
st: NotStopd

id: GCS Total
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 15
n1: 15
u1: points
st: NotStopd

id: HOB
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 30 degrees
st: NotStopd

id: Heart Rate
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 101
n1: 101
u1: BPM
st: NotStopd

id: Heart Rate
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 94
n1: 94
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: Heart Rhythm
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Abdominal Assessment
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft
st: NotStopd

id: Activity
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: Activity Tolerance
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: Imp Skin Cleanse #1
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Wound Cleanser
st: NotStopd

id: Imp Skin Cleanse #3
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Saline
st: NotStopd

id: ImpSkin Character #1
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abrasion
st: NotStopd

id: ImpSkin Character #3
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Laceration
st: NotStopd

id: ImpSkin Drain/Amt #3
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sanguinous
v2: Small
st: NotStopd

id: ImpSkin Drain/Amt#1
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: ImpSkin Treatment #3
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Wet to Dry
st: NotStopd

id: ImpSkin Wound Base#1
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Red
st: NotStopd

id: ImpSkin Wound Base#3
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Red
st: NotStopd

id: ImpSkin Wth/Lth #3
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 0.5 cm
v2: 0.5 cm
st: NotStopd

id: Impaired Skin Site#1
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Impaired Skin Site#3
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right knee
st: NotStopd

id: Impaired Skin Site#4
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Foot, Right
st: NotStopd

id: Inc Dsg/Status #1
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Dry Sterile Dsg
v2: Intact
st: NotStopd

id: Incision/Wound #1
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: LL Strength/Movement
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LLL Lung Sounds
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: LU Strength/Movement
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LUL Lung Sounds
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: Level of Conscious
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Alert
st: NotStopd

id: Motor Response
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 6 Obeys Commands
st: NotStopd

id: Oral Cavity
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Teeth/Tissue WNL
st: NotStopd

id: Orientation
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oriented x 2
st: NotStopd

id: AntiEmbDevice/Status
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Arterial BP
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 134
n1: 134
u1: mmHg
v2: 81
n2: 81
u2: mmHg
st: NotStopd

id: Arterial BP
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 125
n1: 125
u1: mmHg
v2: 82
n2: 82
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 99
n1: 99
u1: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 96
n1: 96
u1: mmHg
st: NotStopd

id: Position
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Side
st: NotStopd

id: PostTib. Pulses R/L
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Assistance Device
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: Precautions
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: RL Strength/Movement
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Moves on Bed
st: NotStopd

id: RL Strength/Movement
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Moves on Bed
st: NotStopd

id: RLL Lung Sounds
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: RUL Lung Sounds
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: Respiratory Pattern
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 19
n1: 19
u1: BPM
st: NotStopd

id: Respiratory Rate
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 17
n1: 17
u1: BPM
st: NotStopd

id: Responds to Stimuli
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: Side Rails
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Skin Care
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: SpO2
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 84
n1: 84
u1: %
st: NotStopd

id: SpO2
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: Spontaneous Movement
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purposeful
st: NotStopd

id: Support Systems
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: Therapeutic Bed
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Airbed/Kinair
st: NotStopd

id: Turn
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Side
st: NotStopd

id: Urine Color/Appear
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yellow
v2: Clear
st: NotStopd

id: Urine Source
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Indwelling Cath
st: NotStopd

id: Verbal Response
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 5 Oriented
st: NotStopd

id: Back Care
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: calprevflg
t0: [15:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: calprevflg
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Behavior
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Anxious
st: NotStopd

id: Bowel Sounds
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Present
st: NotStopd

id: Braden Activity
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedfast
st: NotStopd

id: Braden Frict/Shear
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Problem
st: NotStopd

id: Braden Mobility
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Very Limited
st: NotStopd

id: Braden Moisture
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Occ. Moist
st: NotStopd

id: Braden Nutrition
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Adequate
st: NotStopd

id: Braden Score
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 12
n1: 12
u1: number
st: NotStopd

id: Braden SensoryPercep
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Very Limited
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [16:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 20
vu: ml

id: TPN 1000.0ml
t0: [16:00:00 27/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 150
vu: ml

id: Urine Out Foley
t0: [16:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 340
vu: ml

[16:29:00 27/02/2016] start prev next end

I/O Event

id: D5W 100.0ml
t0: [14:00:00 27/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 100
vu: ml

[17:03:00 27/02/2016] start prev next end

Chart Event

id: Service Type
t0: [17:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [17:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [17:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [17:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [17:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [17:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [17:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 99
n1: 99
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [17:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Arterial BP
t0: [17:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 120
n1: 120
u1: mmHg
v2: 76
n2: 76
u2: mmHg
st: NotStopd

id: Arterial BP Mean
t0: [17:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
st: NotStopd

id: Precautions
t0: [17:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [17:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [17:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [17:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [17:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [17:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 17
n1: 17
u1: BPM
st: NotStopd

id: SpO2
t0: [17:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: calprevflg
t0: [17:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [17:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [17:00:00 27/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: Urine Out Foley
t0: [17:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 240
vu: ml

[18:00:00 27/02/2016] start prev next end

Physician Order

pi: 4540072
hi: 27155
t0: [19:00:00 27/02/2016]
tf: [18:00:00 28/02/2016]
pt: IV Large Volume
st: Expired
rt: IV
fr: ONCE
ds: 19
iv: Amino Acid 4.25% with Electrolytes in 5% Dextrose 1000 ml
dn: 1
dt: 1
di: Doses
xu: Enter on Label

[18:22:00 27/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Orientation
st: NotStopd

id: Less Restrict Meas.
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Orientation
st: NotStopd

id: Pain Level/Response
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1-None to Mild
st: NotStopd

id: Pain Present
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Range of Motion
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Range of Motion
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Pain Assess Method
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Non-verbal cues
st: NotStopd

id: PainLevel Acceptable
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Service Type
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Circulation/SkinInt
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Calm/Cooperative
st: NotStopd

id: Daily Wake Up
t0: [18:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
v1: No/Not Sedated
st: NotStopd

id: Risk for Falls
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Alarms
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: ON
st: NotStopd

id: Parameters Checked
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Topic #1
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Activity
st: NotStopd

id: Education Topic #1
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Activity
st: NotStopd

id: Heart Rate
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 105
n1: 105
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: INV Line#2 D/C Date
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 17
n2: 17
st: NotStopd

id: INV Line#2 Type/Site
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: A-Line
v2: Right Radial
st: NotStopd

id: INV Line#2InsertDate
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 11
n2: 11
st: NotStopd

id: INV Line#4 Type/Site
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Multi-lumen
v2: Left Subclavian
st: NotStopd

id: INV Line#4InsertDate
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 12
n2: 12
st: NotStopd

id: INV Line#4SiteAppear
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: IV #1 Insert Date
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 14
n2: 14
st: NotStopd

id: IV #1 Site/Size
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Hand
v2: 20 gauge
st: NotStopd

id: IV #4 Insert Date
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 13
n2: 13
st: NotStopd

id: IV #4 Site/Size
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: LL Post Forearm
v2: 20 gauge
st: NotStopd

id: IV Site Appear #1
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: IV Site Appear #4
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: Impaired Skin Site#1
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Impaired Skin Site#1
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Impaired Skin Site#3
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right knee
st: NotStopd

id: Impaired Skin Site#3
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right knee
st: NotStopd

id: Incision/Wound #1
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: Incision/Wound #1
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: NBP
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 110
n1: 110
u1: mmHg
v2: 74
n2: 74
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 82
n1: 82
u1: mmHg
st: NotStopd

id: Pain Location
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Not Indicated
st: NotStopd

id: Pain Management
t0: [18:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
v1: IV Push
v2: IV Push
st: NotStopd

id: Position Change
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Position Change
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Precautions
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: INV#2 Dsg Change
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Dsg Change
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: RU Strength/Movement
t0: [12:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: RU Strength/Movement
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: Reason For Restraint
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Reason For Restraint
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Removed x 5 Mins
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Rate
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 17
n1: 17
u1: BPM
st: NotStopd

id: Restraint Location
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Location
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Location
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Restraint Type
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraint Type
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Behavior Conts
st: NotStopd

id: Restraints Evaluated
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Behavior Conts
st: NotStopd

id: Side Rails
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Side Rails
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: SpO2
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 99
n1: 99
u1: %
st: NotStopd

id: Support Systems
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: Support Systems
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: INV#2 Cap Change
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 16
n2: 16
st: NotStopd

id: INV#2 Tubing Change
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 16
n2: 16
st: NotStopd

id: INV#4 Cap Change
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Tubing Change
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: Temperature C (calc)
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 36.6667
n1: 36.6667
u1: Deg. C
st: NotStopd

id: Temperature F
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: Deg. F
st: NotStopd

id: calprevflg
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Behavior
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Anxious
st: NotStopd

id: Pt./Family Informed
t0: [14:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Pt./Family Informed
t0: [16:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Pt./Family Informed
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Fingerstick Glucose
t0: [18:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 145
n1: 145
rs: Manual
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [18:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [18:00:00 27/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: Urine Out Foley
t0: [18:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 240
vu: ml

[18:36:00 27/02/2016] start prev next end

Chart Event

id: Service Type
t0: [19:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [19:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [19:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [19:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [19:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [19:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [19:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 109
n1: 109
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [19:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: NBP
t0: [19:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 112
n1: 112
u1: mmHg
v2: 72
n2: 72
u2: mmHg
st: NotStopd

id: Precautions
t0: [19:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [19:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [19:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [19:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [19:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [19:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 19
n1: 19
u1: BPM
st: NotStopd

id: SpO2
t0: [19:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: %
st: NotStopd

id: calprevflg
t0: [19:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [19:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [19:00:00 27/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: Urine Out Foley
t0: [19:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 100
vu: ml

[18:57:00 27/02/2016] start prev next end

I/O Event

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [10:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vu: ml
st: Stopped

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [12:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [14:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [16:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [17:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [18:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vu: ml

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [19:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vu: ml

[19:00:00 27/02/2016] start prev next end

Physician Order

pi: 4540174
hi: 27155
t0: [20:00:00 27/02/2016]
tf: [07:00:00 04/03/2016]
mn: Lorazepam
pt: Unit Dose
st: Inactive (Due to a change order)
rt: IV
fr: Q6H:PRN
di: Ongoing
xv: 36
xu: Hours

[19:01:00 27/02/2016] start prev next end

I/O Event

id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl
t0: [19:01:00 27/02/2016]
el: 1
ai: 107
cg: -1
cu: CSRU
vo: 0
st: D/C'd

[19:12:00 27/02/2016] start prev next end

I/O Event

id: Stool Out Stool
t0: [19:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vu: ml
es: Medium

id: Drain Out #1 Jackson Pratt
t0: [19:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 20
vu: ml

Total I/O Event

id: Drain #1 Total Out
t0: [23:00:00 27/02/2016]
el: 3
cg: RN
cu: CSRU
cv: 20
ac: 24
ap: none
re: 0

[20:00:00 27/02/2016] start prev next end

Chart Event

id: INV Line#2 D/C Date
t0: [20:00:00 27/02/2016]
el: 0
cg: -1
cu: CSRU
st: D/C'd

id: INV Line#2 Zero/Cal
t0: [20:00:00 27/02/2016]
el: 0
cg: -1
cu: CSRU
st: D/C'd

id: INV Line#2SiteAppear
t0: [20:00:00 27/02/2016]
el: 0
cg: -1
cu: CSRU
st: D/C'd

id: INV#2 WaveformAppear
t0: [20:00:00 27/02/2016]
el: 0
cg: -1
cu: CSRU
st: D/C'd

[20:01:00 27/02/2016] start prev next end

Chart Event

id: Service Type
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Diet Type
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: TPN
st: NotStopd

id: Dorsal PedPulse R/L
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Ectopy Frequency
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Alarms
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: ON
st: NotStopd

id: Parameters Checked
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Topic #1
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Activity
st: NotStopd

id: Eye Opening
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Spontaneously
st: NotStopd

id: Follows Commands
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Inconsistently
st: NotStopd

id: GCS Total
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 15
n1: 15
u1: points
st: NotStopd

id: Heart Rate
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 93
n1: 93
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: INV Line#2 Type/Site
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: A-Line
v2: Right Radial
st: NotStopd

id: INV Line#2InsertDate
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 11
n2: 11
st: NotStopd

id: INV Line#4 Type/Site
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Multi-lumen
v2: Left Subclavian
st: NotStopd

id: INV Line#4InsertDate
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 12
n2: 12
st: NotStopd

id: INV Line#4SiteAppear
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: Abdominal Assessment
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft
st: NotStopd

id: IV #1 Insert Date
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 14
n2: 14
st: NotStopd

id: IV #1 Site/Size
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Hand
v2: 20 gauge
st: NotStopd

id: IV #4 Insert Date
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 13
n2: 13
st: NotStopd

id: IV #4 Site/Size
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: LL Post Forearm
v2: 20 gauge
st: NotStopd

id: IV Site Appear #1
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: IV Site Appear #4
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: Impaired Skin Site#1
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Impaired Skin Site#3
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right knee
st: NotStopd

id: Incision/Wound #1
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: LL Strength/Movement
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LLL Lung Sounds
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: LU Strength/Movement
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LUL Lung Sounds
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: Level of Conscious
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Alert
st: NotStopd

id: Motor Response
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 6 Obeys Commands
st: NotStopd

id: NBP
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 119
n1: 119
u1: mmHg
v2: 79
n2: 79
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 89
n1: 89
u1: mmHg
st: NotStopd

id: O2 Delivery Device
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Nasal Cannula
st: NotStopd

id: O2 Flow (lpm)
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
u1: lpm
st: NotStopd

id: Oral Cavity
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Teeth/Tissue WNL
st: NotStopd

id: Orientation
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oriented x 3
st: NotStopd

id: PostTib. Pulses R/L
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Precautions
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: INV#2 Dsg Change
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Dsg Change
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: RL Strength/Movement
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Moves on Bed
st: NotStopd

id: RLL Lung Sounds
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: RU Strength/Movement
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: RUL Lung Sounds
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: Respiratory Pattern
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 19
n1: 19
u1: BPM
st: NotStopd

id: Responds to Stimuli
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: Side Rails
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: SpO2
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: %
st: NotStopd

id: Spontaneous Movement
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purposeful
st: NotStopd

id: Support Systems
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: INV#2 Cap Change
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 16
n2: 16
st: NotStopd

id: INV#2 Tubing Change
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 16
n2: 16
st: NotStopd

id: INV#4 Cap Change
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: INV#4 Tubing Change
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 15
n2: 15
st: NotStopd

id: Temp. Site
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oral
st: NotStopd

id: Temperature C (calc)
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 36.1111
n1: 36.1111
u1: Deg. C
st: NotStopd

id: Temperature F
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: Deg. F
st: NotStopd

id: Urine Color/Appear
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yellow
v2: Clear
st: NotStopd

id: Urine Source
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Indwelling Cath
st: NotStopd

id: Verbal Response
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 5 Oriented
st: NotStopd

id: calprevflg
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Pt./Family Informed
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Bowel Sounds
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Present
st: NotStopd

id: JP DRAIN
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: intact

id: Braden Activity
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedfast
st: NotStopd

id: Braden Frict/Shear
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Problem
st: NotStopd

id: Braden Mobility
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Very Limited
st: NotStopd

id: Braden Moisture
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Occ. Moist
st: NotStopd

id: Braden Nutrition
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Prob. Inadequate
st: NotStopd

id: Braden Score
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 12
n1: 12
u1: number
st: NotStopd

id: Braden SensoryPercep
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sl. Limited
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [20:00:00 27/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 150
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [20:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [20:00:00 27/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 75
vu: ml

id: Urine Out Foley
t0: [20:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 200
vu: ml

[20:26:00 27/02/2016] start prev next end

Chart Event

id: bath
t0: [20:00:00 27/02/2016]
el: 0
cg: CoWker
cu: CSRU
v1: Done

id: HOB
t0: [20:00:00 27/02/2016]
el: 0
cg: CoWker
cu: CSRU
v1: 30 degrees
st: NotStopd

id: Activity
t0: [20:00:00 27/02/2016]
el: 0
cg: CoWker
cu: CSRU
v1: Bedrest
st: NotStopd

id: Activity Tolerance
t0: [20:00:00 27/02/2016]
el: 0
cg: CoWker
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: AntiEmbDevice/Status
t0: [20:00:00 27/02/2016]
el: 0
cg: CoWker
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Assistance Device
t0: [20:00:00 27/02/2016]
el: 0
cg: CoWker
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Skin Care
t0: [20:00:00 27/02/2016]
el: 0
cg: CoWker
cu: CSRU
v1: Done
st: NotStopd

id: Therapeutic Bed
t0: [20:00:00 27/02/2016]
el: 0
cg: CoWker
cu: CSRU
v1: Airbed/Kinair
st: NotStopd

id: Back Care
t0: [20:00:00 27/02/2016]
el: 0
cg: CoWker
cu: CSRU
v1: Done
st: NotStopd

I/O Event

id: Stool Out Stool
t0: [20:00:00 27/02/2016]
el: 1
cg: CoWker
cu: CSRU
vu: ml
es: Large

Total I/O Event

id: Stool Out Total
t0: [23:00:00 27/02/2016]
el: 3
cg: CoWker
cu: CSRU
cv: 0
ac: 24
ap: carryForward
re: 0

[20:45:00 27/02/2016] start prev next end

Chart Event

id: Pain Present
t0: [21:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Pain Assess Method
t0: [21:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pt Verbalized
st: NotStopd

id: PainLevel Acceptable
t0: [21:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Service Type
t0: [21:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [21:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [21:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [21:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [21:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [21:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [21:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 110
n1: 110
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [21:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: Activity
t0: [19:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: NBP
t0: [21:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 110
n1: 110
u1: mmHg
v2: 63
n2: 63
u2: mmHg
st: NotStopd

id: Oral Care
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Pain Location
t0: [21:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Back
st: NotStopd

id: Position
t0: [19:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Supine
st: NotStopd

id: Position
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Side
st: NotStopd

id: Precautions
t0: [21:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [21:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [21:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [21:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [21:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [21:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 19
n1: 19
u1: BPM
st: NotStopd

id: SpO2
t0: [21:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: Therapeutic Bed
t0: [19:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Airbed/Kinair
st: NotStopd

id: Turn
t0: [19:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Turns by self
st: NotStopd

id: Turn
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Side
st: NotStopd

id: calprevflg
t0: [21:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [21:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [21:00:00 27/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 42
vu: ml

id: Urine Out Foley
t0: [21:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 120
vu: ml

[21:10:00 27/02/2016] start prev next end

I/O Event

id: D5W 100.0ml
t0: [21:00:00 27/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 250
vu: ml

[21:45:00 27/02/2016] start prev next end

Chart Event

id: Service Type
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Agitated
st: NotStopd

id: Risk for Falls
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 104
n1: 104
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: NBP
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 117
n1: 117
u1: mmHg
v2: 79
n2: 79
u2: mmHg
st: NotStopd

id: Precautions
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 15
n1: 15
u1: BPM
st: NotStopd

id: SpO2
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: calprevflg
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [22:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [22:00:00 27/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 42
vu: ml

id: Urine Out Foley
t0: [22:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 100
vu: ml

[22:29:00 27/02/2016] start prev next end

I/O Event

id: D5W 100.0ml
t0: [22:30:00 27/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 100
vu: ml

[23:44:00 27/02/2016] start prev next end

Chart Event

id: Fingerstick Glucose
t0: [00:00:00 28/02/2016]
el: 0
cg: CoWker
cu: CSRU
v1: 108
n1: 108
rs: Manual
st: NotStopd

[23:50:00 27/02/2016] start prev next end

Chart Event

id: Service Type
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Service Type
t0: [23:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Code Status
t0: [23:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Risk for Falls
t0: [23:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Diet Type
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: TPN
st: NotStopd

id: Dorsal PedPulse R/L
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Ectopy Frequency
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Frequency
t0: [23:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [23:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [23:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Topic #1
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Activity
st: NotStopd

id: Eye Opening
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Spontaneously
st: NotStopd

id: Follows Commands
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Inconsistently
st: NotStopd

id: GCS Total
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 13
n1: 13
u1: points
st: NotStopd

id: HOB
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 30 degrees
st: NotStopd

id: Heart Rate
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: BPM
st: NotStopd

id: Heart Rate
t0: [23:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 115
n1: 115
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Heart Rhythm
t0: [23:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: INV Line#4 Type/Site
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Multi-lumen
v2: Left Subclavian
st: NotStopd

id: INV Line#4InsertDate
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 12
n2: 12
st: NotStopd

id: Abdominal Assessment
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft
st: NotStopd

id: IV #1 Insert Date
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 14
n2: 14
st: NotStopd

id: IV #1 Site/Size
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Hand
v2: 20 gauge
st: NotStopd

id: IV #4 Insert Date
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 13
n2: 13
st: NotStopd

id: IV #4 Site/Size
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: LL Post Forearm
v2: 20 gauge
st: NotStopd

id: Activity
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: IV Site Appear #1
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: IV Site Appear #4
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: Activity Tolerance
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: Imp Skin Cleanse #1
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soap & H20
st: NotStopd

id: Imp Skin Cleanse #3
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Saline
st: NotStopd

id: ImpSkin Character #1
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abrasion
st: NotStopd

id: ImpSkin Character #3
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Laceration
st: NotStopd

id: ImpSkin Drain/Amt #3
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sanguinous
v2: Scant
st: NotStopd

id: ImpSkin Drain/Amt#1
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: ImpSkin Treatment #1
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Open to Air
st: NotStopd

id: ImpSkin Treatment #1
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Open to Air
st: NotStopd

id: ImpSkin Treatment #3
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Wet to Dry
st: NotStopd

id: ImpSkin Wound Base#1
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Red
st: NotStopd

id: ImpSkin Wound Base#3
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Red
st: NotStopd

id: ImpSkin Wth/Lth #3
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 0.5 cm
v2: 0.5 cm
st: NotStopd

id: Impaired Skin Site#1
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Impaired Skin Site#3
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right knee
st: NotStopd

id: Inc Dsg/Status #1
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Dry Sterile Dsg
v2: Intact
st: NotStopd

id: Inc Dsg/Status #1
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Dry Sterile Dsg
v2: Intact
st: NotStopd

id: Incision/Wound #1
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: LL Strength/Movement
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LLL Lung Sounds
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: LU Strength/Movement
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LUL Lung Sounds
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: Level of Conscious
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Alert
st: NotStopd

id: Motor Response
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 5 Localizes Pain
st: NotStopd

id: NBP
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 114
n1: 114
u1: mmHg
v2: 75
n2: 75
u2: mmHg
st: NotStopd

id: NBP
t0: [23:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 104
n1: 104
u1: mmHg
v2: 76
n2: 76
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [23:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 83
n1: 83
u1: mmHg
st: NotStopd

id: O2 Delivery Device
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Nasal Cannula
st: NotStopd

id: O2 Flow (lpm)
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
u1: lpm
st: NotStopd

id: Oral Care
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Oral Cavity
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Teeth/Tissue WNL
st: NotStopd

id: Orientation
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oriented x 2
st: NotStopd

id: AntiEmbDevice/Status
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Position
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Left Side
st: NotStopd

id: PostTib. Pulses R/L
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Assistance Device
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: Precautions
t0: [23:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: INV#4 Dsg Change
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [23:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [23:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [23:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [23:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: RL Strength/Movement
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Moves on Bed
st: NotStopd

id: RLL Lung Sounds
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: RU Strength/Movement
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: RUL Lung Sounds
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: Respiratory Pattern
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 17
n1: 17
u1: BPM
st: NotStopd

id: Respiratory Rate
t0: [23:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 17
n1: 17
u1: BPM
st: NotStopd

id: Responds to Stimuli
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: Side Rails
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Skin Care
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Skin Integrity
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Impaired
st: NotStopd

id: SpO2
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: SpO2
t0: [23:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: Spontaneous Movement
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purposeful
st: NotStopd

id: Support Systems
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: INV#4 Cap Change
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: INV#4 Tubing Change
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: Temp. Site
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oral
st: NotStopd

id: Temperature C (calc)
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 36
n1: 36
u1: Deg. C
st: NotStopd

id: Temperature F
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 96.8
n1: 96.8
u1: Deg. F
st: NotStopd

id: Therapeutic Bed
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Airbed/Kinair
st: NotStopd

id: Turn
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Left Side
st: NotStopd

id: Urine Color/Appear
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yellow
v2: Clear
st: NotStopd

id: Urine Source
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Indwelling Cath
st: NotStopd

id: Verbal Response
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Confused
st: NotStopd

id: Back Care
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: calprevflg
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: calprevflg
t0: [23:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Pt./Family Informed
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Bowel Sounds
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Present
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [00:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [23:00:00 27/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [00:00:00 28/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 42
vu: ml

id: TPN 1000.0ml
t0: [23:00:00 27/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 42
vu: ml

id: Stool Out Stool
t0: [00:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vu: ml
es: Large

id: Urine Out Foley
t0: [00:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 100
vu: ml

id: Urine Out Foley
t0: [23:00:00 27/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 300
vu: ml

[00:42:00 28/02/2016] start prev next end

Chart Event

id: Pain Present
t0: [01:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Pain Assess Method
t0: [01:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pt Verbalized
st: NotStopd

id: Service Type
t0: [01:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [01:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [01:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [01:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [01:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [01:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [01:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 112
n1: 112
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [01:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: NBP
t0: [01:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 107
n1: 107
u1: mmHg
v2: 64
n2: 64
u2: mmHg
st: NotStopd

id: Pain Cause
t0: [01:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: At Rest
st: NotStopd

id: Precautions
t0: [01:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [01:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [01:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [01:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [01:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [01:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 17
n1: 17
u1: BPM
st: NotStopd

id: SpO2
t0: [01:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: %
st: NotStopd

id: calprevflg
t0: [01:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [01:00:00 28/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 150
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [01:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [01:00:00 28/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 42
vu: ml

id: Urine Out Foley
t0: [01:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 100
vu: ml

[01:52:00 28/02/2016] start prev next end

Chart Event

id: Service Type
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: NBP
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: mmHg
v2: 64
n2: 64
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 72
n1: 72
u1: mmHg
st: NotStopd

id: Precautions
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 14
n1: 14
u1: BPM
st: NotStopd

id: SpO2
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: calprevflg
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [02:00:00 28/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 50
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [02:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [02:00:00 28/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 42
vu: ml

id: Urine Out Foley
t0: [02:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 120
vu: ml

[03:04:00 28/02/2016] start prev next end

Chart Event

id: Service Type
t0: [03:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [03:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [03:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [03:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [03:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [03:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [03:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 94
n1: 94
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [03:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: NBP
t0: [03:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 94
n1: 94
u1: mmHg
v2: 51
n2: 51
u2: mmHg
st: NotStopd

id: Precautions
t0: [03:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [03:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [03:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [03:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [03:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [03:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 15
n1: 15
u1: BPM
st: NotStopd

id: SpO2
t0: [03:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: %
st: NotStopd

id: calprevflg
t0: [03:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [03:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [03:00:00 28/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 42
vu: ml

id: Urine Out Foley
t0: [03:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 400
vu: ml

[03:45:00 28/02/2016] start prev next end

Chart Event

id: WBC   (4-11,000)
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 7.3
n1: 7.3
rs: Final
st: NotStopd

id: WBC
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 7.3
n1: 7.3
rs: Final
st: NotStopd

id: Hematocrit
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 30.9
n1: 30.9
u1: %
rs: Final
st: NotStopd

id: Hemoglobin
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 10.8
n1: 10.8
u1: gm/dl
rs: Final
st: NotStopd

id: Platelets
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 177
n1: 177
rs: Final
st: NotStopd

id: RBC
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 3.32
n1: 3.32
u1: /mic l
rs: Final
st: NotStopd

id: WBC (4-11,000)
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 7.3
n1: 7.3
rs: Final
st: NotStopd

[03:51:00 28/02/2016] start prev next end

Chart Event

id: Service Type
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Diet Type
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: TPN
st: NotStopd

id: Dorsal PedPulse R/L
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Ectopy Frequency
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Topic #1
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Activity
st: NotStopd

id: Follows Commands
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Inconsistently
st: NotStopd

id: Heart Rate
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 89
n1: 89
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: INV Line#4 Type/Site
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Multi-lumen
v2: Left Subclavian
st: NotStopd

id: INV Line#4InsertDate
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 12
n2: 12
st: NotStopd

id: INV Line#4SiteAppear
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Other/Remarks
st: NotStopd

id: Abdominal Assessment
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft
st: NotStopd

id: IV #1 Insert Date
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 14
n2: 14
st: NotStopd

id: IV #1 Site/Size
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Hand
v2: 20 gauge
st: NotStopd

id: IV Site Appear #1
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: Impaired Skin Site#1
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Impaired Skin Site#3
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right knee
st: NotStopd

id: Incision/Wound #1
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: LL Strength/Movement
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LLL Lung Sounds
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: LU Strength/Movement
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LUL Lung Sounds
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: NBP
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 96
n1: 96
u1: mmHg
v2: 59
n2: 59
u2: mmHg
st: NotStopd

id: O2 Delivery Device
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Nasal Cannula
st: NotStopd

id: O2 Flow (lpm)
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
u1: lpm
st: NotStopd

id: Oral Cavity
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Teeth/Tissue WNL
st: NotStopd

id: PostTib. Pulses R/L
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Precautions
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: INV#4 Dsg Change
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: RL Strength/Movement
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: RLL Lung Sounds
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: RU Strength/Movement
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: RUL Lung Sounds
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: Respiratory Pattern
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 17
n1: 17
u1: BPM
st: NotStopd

id: Responds to Stimuli
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: Side Rails
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: SpO2
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: %
st: NotStopd

id: Spontaneous Movement
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purposeful
st: NotStopd

id: Support Systems
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: INV#4 Cap Change
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: INV#4 Tubing Change
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: Urine Color/Appear
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yellow
v2: Clear
st: NotStopd

id: Urine Source
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Indwelling Cath
st: NotStopd

id: calprevflg
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Pt./Family Informed
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Bowel Sounds
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Present
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [04:00:00 28/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 100
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [04:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [04:00:00 28/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 42
vu: ml

id: Urine Out Foley
t0: [04:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 120
vu: ml

[04:00:00 28/02/2016] start prev next end

Chart Event

id: IV #4 Insert Date
t0: [04:00:00 28/02/2016]
el: 0
cg: -1
cu: CSRU
st: D/C'd

id: IV #4 Site/Size
t0: [04:00:00 28/02/2016]
el: 0
cg: -1
cu: CSRU
st: D/C'd

id: IV Site Appear #4
t0: [04:00:00 28/02/2016]
el: 0
cg: -1
cu: CSRU
st: D/C'd

[04:10:00 28/02/2016] start prev next end

Chart Event

id: BUN
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 11
n1: 11
rs: Final
st: NotStopd

id: Calcium
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 8.8
n1: 8.8
u1: mg/dl
rs: Final
st: NotStopd

id: Chloride
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 102
n1: 102
rs: Final
st: NotStopd

id: Creatinine
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 0.3
n1: 0.3
rs: Final
st: NotStopd

id: Glucose
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 99
n1: 99
rs: Final
st: NotStopd

id: Magnesium
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 1.9
n1: 1.9
rs: Final
st: NotStopd

id: Phosphorous
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 4.4
n1: 4.4
u1: mEq/L
rs: Final
st: NotStopd

id: Potassium
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 4.2
n1: 4.2
rs: Final
st: NotStopd

id: Sodium
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 135
n1: 135
rs: Final
st: NotStopd

id: BUN (6-20)
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 11
n1: 11
rs: Final
st: NotStopd

id: Calcium (8.4-10.2)
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 8.8
n1: 8.8
u1: mg/dl
rs: Final
st: NotStopd

id: Carbon Dioxide
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 26
n1: 26
rs: Final
st: NotStopd

id: Chloride (100-112)
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 102
n1: 102
rs: Final
st: NotStopd

id: Creatinine (0-1.3)
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 0.3
n1: 0.3
rs: Final
st: NotStopd

id: Glucose (70-105)
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 99
n1: 99
rs: Final
st: NotStopd

id: Magnesium (1.6-2.6)
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 1.9
n1: 1.9
rs: Final
st: NotStopd

id: Phosphorous(2.7-4.5)
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 4.4
n1: 4.4
u1: mEq/L
rs: Final
st: NotStopd

id: Potassium (3.5-5.3)
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 4.2
n1: 4.2
rs: Final
st: NotStopd

id: Sodium (135-148)
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 135
n1: 135
rs: Final
st: NotStopd

[04:41:00 28/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Less Restrict Meas.
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Less Restrict Meas.
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Less Restrict Meas.
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Orientation
st: NotStopd

id: Less Restrict Meas.
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Pain Present
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Range of Motion
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Range of Motion
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Range of Motion
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Range of Motion
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Range of Motion
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Pain Assess Method
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pt Verbalized
st: NotStopd

id: Service Type
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Circulation/SkinInt
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Circulation/SkinInt
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Circulation/SkinInt
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Circulation/SkinInt
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: IV #4 Reason DC'D
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Routine Change
st: NotStopd

id: Risk for Falls
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Topic #1
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Activity
st: NotStopd

id: Education Topic #1
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Activity
st: NotStopd

id: Eye Opening
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Spontaneously
st: NotStopd

id: GCS Total
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 14
n1: 14
u1: points
st: NotStopd

id: HOB
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 30 degrees
st: NotStopd

id: Heart Rate
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 103
n1: 103
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Activity
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: Activity Tolerance
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: Imp Skin Cleanse #1
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soap & H20
st: NotStopd

id: Imp Skin Cleanse #1
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soap & H20
st: NotStopd

id: ImpSkin Character #1
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abrasion
st: NotStopd

id: ImpSkin Treatment #1
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Open to Air
st: NotStopd

id: ImpSkin Wound Base#1
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Red
st: NotStopd

id: Impaired Skin Site#1
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Impaired Skin Site#1
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Impaired Skin Site#3
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right knee
st: NotStopd

id: Impaired Skin Site#3
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right knee
st: NotStopd

id: Inc Dsg/Status #1
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Dry Sterile Dsg
v2: Intact
st: NotStopd

id: Incision/Wound #1
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: Incision/Wound #1
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: Level of Conscious
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Alert
st: NotStopd

id: Motor Response
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 6 Obeys Commands
st: NotStopd

id: NBP
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 111
n1: 111
u1: mmHg
v2: 78
n2: 78
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 86
n1: 86
u1: mmHg
st: NotStopd

id: Oral Care
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Orientation
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oriented x 1
st: NotStopd

id: AntiEmbDevice/Status
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Pain Cause
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: At Rest
st: NotStopd

id: Pain Location
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Other/Remarks
st: NotStopd

id: Position
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Side
st: NotStopd

id: Position Change
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Position Change
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Position Change
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Position Change
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Position Change
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Assistance Device
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Independent
st: NotStopd

id: Precautions
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Reason For Restraint
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Reason For Restraint
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Reason For Restraint
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Reason For Restraint
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Reason For Restraint
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Removed x 5 Mins
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Removed x 5 Mins
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Removed x 5 Mins
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Removed x 5 Mins
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Rate
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 16
n1: 16
u1: BPM
st: NotStopd

id: Restraint Location
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Location
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Location
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Location
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Location
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraint Type
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraint Type
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraint Type
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraint Type
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [00:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Restraints Evaluated
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Restraints Evaluated
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Restraints Evaluated
t0: [20:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Restraints Evaluated
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Side Rails
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Side Rails
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Skin Care
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: SpO2
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 96
n1: 96
u1: %
st: NotStopd

id: Support Systems
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: Support Systems
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: Temp. Site
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oral
st: NotStopd

id: Temperature C (calc)
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 36.1111
n1: 36.1111
u1: Deg. C
st: NotStopd

id: Temperature F
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: Deg. F
st: NotStopd

id: Therapeutic Bed
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Side
st: NotStopd

id: Verbal Response
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Confused
st: NotStopd

id: Back Care
t0: [04:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: calprevflg
t0: [05:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Pt./Family Informed
t0: [02:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Pt./Family Informed
t0: [22:00:00 27/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [05:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [05:00:00 28/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 42
vu: ml

id: Urine Out Foley
t0: [05:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 240
vu: ml

[04:48:00 28/02/2016] start prev next end

I/O Event

id: Drain Out #1 Jackson Pratt
t0: [05:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 5
vu: ml

Total I/O Event

id: Drain #1 Total Out
t0: [23:00:00 28/02/2016]
el: 3
cg: RN
cu: CSRU
cv: 5
ac: 24
ap: none
re: 0

[05:03:00 28/02/2016] start prev next end

Chart Event

id: Differential-Bands
t0: [03:00:00 28/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 1
n1: 1
rs: Final
st: NotStopd

[05:37:00 28/02/2016] start prev next end

Chart Event

id: Fingerstick Glucose
t0: [06:00:00 28/02/2016]
el: 0
cg: CoWker
cu: CSRU
v1: 141
n1: 141
rs: Manual
st: NotStopd

[05:38:00 28/02/2016] start prev next end

Chart Event

id: Service Type
t0: [05:30:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Service Type
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [05:30:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Code Status
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [05:30:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Risk for Falls
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [05:30:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Frequency
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [05:30:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [05:30:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [05:30:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: BPM
st: NotStopd

id: Heart Rate
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 101
n1: 101
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [05:30:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Heart Rhythm
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: Activity
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: Activity Tolerance
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: NBP
t0: [05:30:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 117
n1: 117
u1: mmHg
v2: 77
n2: 77
u2: mmHg
st: NotStopd

id: NBP
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 103
n1: 103
u1: mmHg
v2: 66
n2: 66
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [05:30:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
st: NotStopd

id: NBP Mean
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 73
n1: 73
u1: mmHg
st: NotStopd

id: AntiEmbDevice/Status
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Position
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Left Side
st: NotStopd

id: Assistance Device
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [05:30:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: Precautions
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [05:30:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [05:30:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [05:30:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [05:30:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [05:30:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 16
n1: 16
u1: BPM
st: NotStopd

id: Respiratory Rate
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 18
n1: 18
u1: BPM
st: NotStopd

id: SpO2
t0: [05:30:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 96
n1: 96
u1: %
st: NotStopd

id: SpO2
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 96
n1: 96
u1: %
st: NotStopd

id: Therapeutic Bed
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Left Side
st: NotStopd

id: calprevflg
t0: [05:30:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: calprevflg
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [06:00:00 28/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 100
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [06:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [06:00:00 28/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 42
vu: ml

id: Urine Out Foley
t0: [06:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 140
vu: ml

[06:57:00 28/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Range of Motion
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Service Type
t0: [07:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [07:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [07:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [07:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [07:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [07:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [07:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 103
n1: 103
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [07:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: NBP
t0: [07:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 91
n1: 91
u1: mmHg
v2: 50
n2: 50
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [07:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: mmHg
st: NotStopd

id: Position Change
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Precautions
t0: [07:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [07:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [07:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 50
n1: 50
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [07:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [07:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Reason For Restraint
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Rate
t0: [07:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 19
n1: 19
u1: BPM
st: NotStopd

id: Restraint Location
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Behavior Conts
st: NotStopd

id: Side Rails
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: SpO2
t0: [07:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: %
st: NotStopd

id: calprevflg
t0: [07:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Pt./Family Informed
t0: [06:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [07:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [07:00:00 28/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 42
vu: ml

[08:00:00 28/02/2016] start prev next end

Chart Event

id: Arterial BP
t0: [08:00:00 28/02/2016]
el: 0
cg: -1
cu: CSRU
st: D/C'd

id: Arterial BP Mean
t0: [08:00:00 28/02/2016]
el: 0
cg: -1
cu: CSRU
st: D/C'd

id: Temperature C
t0: [08:00:00 28/02/2016]
el: 0
cg: -1
cu: CSRU
st: D/C'd

[08:25:00 28/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Orientation
st: NotStopd

id: Pain Present
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: No
st: NotStopd

id: Range of Motion
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Service Type
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Agitated
st: NotStopd

id: Risk for Falls
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Diet Type
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: TPN
st: NotStopd

id: Ectopy Frequency
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Alarms
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: ON
st: NotStopd

id: Parameters Checked
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Barrier
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Altered LOC
st: NotStopd

id: Education Handout
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Given
st: NotStopd

id: Education Learner
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Patient
st: NotStopd

id: Education Method
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Explanation
st: NotStopd

id: Education Readiness
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Response
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Reinforced
st: NotStopd

id: Education Topic #1
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coping
st: NotStopd

id: Education Topic #2
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Plan of Care
st: NotStopd

id: Eye Opening
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Spontaneously
st: NotStopd

id: GCS Total
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 14
n1: 14
u1: points
st: NotStopd

id: HOB
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 30 degrees
st: NotStopd

id: Heart Rate
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 115
n1: 115
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: INV Line#4 Type/Site
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Multi-lumen
v2: Left Subclavian
st: NotStopd

id: INV Line#4InsertDate
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 12
n2: 12
st: NotStopd

id: INV Line#4SiteAppear
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: IV #1 Insert Date
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 17
n2: 17
st: NotStopd

id: IV #1 Site/Size
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Hand
v2: 20 gauge
st: NotStopd

id: Activity
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: IV Site Appear #1
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: Activity Tolerance
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Good
st: NotStopd

id: Impaired Skin Site#1
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Impaired Skin Site#3
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right knee
st: NotStopd

id: Incision/Wound #1
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: Level of Conscious
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Confused
st: NotStopd

id: Motor Response
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 6 Obeys Commands
st: NotStopd

id: NBP
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 107
n1: 107
u1: mmHg
v2: 75
n2: 75
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 81
n1: 81
u1: mmHg
st: NotStopd

id: O2 Delivery Device
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Nasal Cannula
st: NotStopd

id: O2 Flow (lpm)
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
u1: lpm
st: NotStopd

id: Oral Cavity
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Teeth/Tissue WNL
st: NotStopd

id: Orientation
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oriented x 1
st: NotStopd

id: AntiEmbDevice/Status
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Position
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Left Side
st: NotStopd

id: Position Change
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Assistance Device
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: INV#4 Dsg Change
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: ABP Alarm (Lo/Hi)
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Reason For Restraint
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Pattern
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 18
n1: 18
u1: BPM
st: NotStopd

id: Restraint Location
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Behavior Conts
st: NotStopd

id: Side Rails
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Skin Care
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Skin Integrity
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Impaired
st: NotStopd

id: Skin Temp/Condition
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Warm
v2: Dry
st: NotStopd

id: SpO2
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 92
n1: 92
u1: %
st: NotStopd

id: Support Systems
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: INV#4 Cap Change
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: INV#4 Tubing Change
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: Temp. Site
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oral
st: NotStopd

id: Temperature C (calc)
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 35.3333
n1: 35.3333
u1: Deg. C
st: NotStopd

id: Temperature F
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 95.6
n1: 95.6
u1: Deg. F
st: NotStopd

id: Therapeutic Bed
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Side to Side
st: NotStopd

id: Urine Color/Appear
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yellow
v2: Clear
st: NotStopd

id: Urine Source
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Indwelling Cath
st: NotStopd

id: Verbal Response
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Confused
st: NotStopd

id: Back Care
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: calprevflg
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Behavior
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Anxious
st: NotStopd

id: Pt./Family Informed
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [08:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [08:00:00 28/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 42
vu: ml

id: Urine Out Foley
t0: [08:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 240
vu: ml

[09:54:00 28/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Orientation
st: NotStopd

id: Pain Present
t0: [08:15:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Range of Motion
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Pain Assess Method
t0: [08:15:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pt Verbalized
st: NotStopd

id: Service Type
t0: [09:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Service Type
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [09:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Code Status
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Calm/Cooperative
st: NotStopd

id: Risk for Falls
t0: [09:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Risk for Falls
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Diet Type
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: TPN
st: NotStopd

id: Dorsal PedPulse R/L
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Ectopy Frequency
t0: [09:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Frequency
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [09:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [09:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Follows Commands
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Consistently
st: NotStopd

id: Heart Rate
t0: [09:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 92
n1: 92
u1: BPM
st: NotStopd

id: Heart Rate
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 94
n1: 94
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [09:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Heart Rhythm
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Abdominal Assessment
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft
st: NotStopd

id: Impaired Skin Site#1
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Impaired Skin Site#3
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right knee
st: NotStopd

id: Incision/Wound #1
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: LL Strength/Movement
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LLL Lung Sounds
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: LU Strength/Movement
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LUL Lung Sounds
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: Level of Conscious
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sleeping
st: NotStopd

id: NBP
t0: [09:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: mmHg
v2: 67
n2: 67
u2: mmHg
st: NotStopd

id: NBP
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 55
n2: 55
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [09:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 73
n1: 73
u1: mmHg
st: NotStopd

id: NBP Mean
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 63
n1: 63
u1: mmHg
st: NotStopd

id: Oral Cavity
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Teeth/Tissue WNL
st: NotStopd

id: Pain Management
t0: [08:15:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
v1: IV Push
st: NotStopd

id: Position Change
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Precautions
t0: [09:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: Precautions
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [09:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [09:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [09:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [09:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: RL Strength/Movement
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: RLL Lung Sounds
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: RU Strength/Movement
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: RUL Lung Sounds
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: Reason For Restraint
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Pattern
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [09:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 15
n1: 15
u1: BPM
st: NotStopd

id: Respiratory Rate
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 16
n1: 16
u1: BPM
st: NotStopd

id: Responds to Stimuli
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: Restraint Location
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Behavior Conts
st: NotStopd

id: Side Rails
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Skin Integrity
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Impaired
st: NotStopd

id: SpO2
t0: [09:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: %
st: NotStopd

id: SpO2
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: %
st: NotStopd

id: Spontaneous Movement
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purposeful
st: NotStopd

id: Support Systems
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: Urine Color/Appear
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yellow
v2: Clear
st: NotStopd

id: Urine Source
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Indwelling Cath
st: NotStopd

id: calprevflg
t0: [09:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: calprevflg
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Behavior
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sleeping
st: NotStopd

id: Pt./Family Informed
t0: [10:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Bowel Sounds
t0: [08:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Present
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [08:00:00 28/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 250
vu: ml

id: D5W 100.0ml
t0: [10:00:00 28/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 100
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [09:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [10:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [09:00:00 28/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 42
vu: ml

id: TPN 1000.0ml
t0: [10:00:00 28/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 42
vu: ml

id: Urine Out Foley
t0: [10:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 155
vu: ml

[10:42:00 28/02/2016] start prev next end

Chart Event

id: Pain Present
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Pain Assess Method
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pt Verbalized
st: NotStopd

id: Service Type
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Eye Care
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Eye Opening
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Spontaneously
st: NotStopd

id: Follows Commands
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Consistently
st: NotStopd

id: GCS Total
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 15
n1: 15
u1: points
st: NotStopd

id: Heart Rate
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 103
n1: 103
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: Activity
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Chair
st: NotStopd

id: Activity Tolerance
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Fair
st: NotStopd

id: Level of Conscious
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Confused
st: NotStopd

id: Motor Response
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 6 Obeys Commands
st: NotStopd

id: NBP
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 113
n1: 113
u1: mmHg
v2: 78
n2: 78
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 86
n1: 86
u1: mmHg
st: NotStopd

id: Oral Care
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Orientation
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oriented x 2
st: NotStopd

id: Pain Management
t0: [11:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
v1: IV Push
st: NotStopd

id: Assistance Device
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Pattern
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 16
n1: 16
u1: BPM
st: NotStopd

id: Responds to Stimuli
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: Skin Care
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: SpO2
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: %
st: NotStopd

id: Spontaneous Movement
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purposeful
st: NotStopd

id: Verbal Response
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 5 Oriented
st: NotStopd

id: Back Care
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: calprevflg
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Behavior
t0: [11:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Anxious
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [11:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [11:00:00 28/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 42
vu: ml

id: Stool Out Stool
t0: [08:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vu: ml
es: Small

id: Urine Out Foley
t0: [11:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 155
vu: ml

[11:34:00 28/02/2016] start prev next end

Chart Event

id: Service Type
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Calm/Cooperative
st: NotStopd

id: Risk for Falls
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Alarms
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: ON
st: NotStopd

id: Parameters Checked
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 105
n1: 105
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: INV Line#4 Type/Site
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Multi-lumen
v2: Left Subclavian
st: NotStopd

id: INV Line#4InsertDate
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 12
n2: 12
st: NotStopd

id: INV Line#4SiteAppear
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: IV #1 Insert Date
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 17
n2: 17
st: NotStopd

id: IV #1 Site/Size
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Hand
v2: 20 gauge
st: NotStopd

id: Activity
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Chair
st: NotStopd

id: IV Site Appear #1
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: NBP
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 115
n1: 115
u1: mmHg
v2: 75
n2: 75
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 85
n1: 85
u1: mmHg
st: NotStopd

id: O2 Delivery Device
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Nasal Cannula
st: NotStopd

id: O2 Flow (lpm)
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
u1: lpm
st: NotStopd

id: Precautions
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: INV#4 Dsg Change
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 19
n1: 19
u1: BPM
st: NotStopd

id: SpO2
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 99
n1: 99
u1: %
st: NotStopd

id: INV#4 Cap Change
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: INV#4 Tubing Change
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: Temp. Site
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oral
st: NotStopd

id: calprevflg
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [12:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: TPN 1000.0ml
t0: [12:00:00 28/02/2016]
el: 1
ai: 304
cg: RN
cu: CSRU
vo: 42
vu: ml

Total I/O Event

id: IV Infusion In Total
t0: [23:00:00 28/02/2016]
el: 3
cg: RN
cu: CSRU
pv: 10
cv: 1590
ac: 24
ap: none
re: 0

id: IV Nutrition Total
t0: [23:00:00 28/02/2016]
el: 3
cg: RN
cu: CSRU
pv: 75
cv: 1239
ac: 24
ap: none
re: 0

[12:00:00 28/02/2016] start prev next end

Physician Order

pi: 4541984
hi: 27155
t0: [13:00:00 28/02/2016]
pt: TPN
st: Expired

[12:01:00 28/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Orientation
st: NotStopd

id: Range of Motion
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Circulation/SkinInt
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Diet Type
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: TPN
st: NotStopd

id: Education Barrier
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Altered LOC
st: NotStopd

id: Education Handout
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Given
st: NotStopd

id: Education Learner
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Patient
st: NotStopd

id: Education Method
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Explanation
st: NotStopd

id: Education Readiness
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Response
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Reinforced
st: NotStopd

id: Education Topic #1
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coping
st: NotStopd

id: Education Topic #2
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Activity
st: NotStopd

id: Eye Opening
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Spontaneously
st: NotStopd

id: Follows Commands
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Consistently
st: NotStopd

id: GCS Total
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 14
n1: 14
u1: points
st: NotStopd

id: Impaired Skin Site#1
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Impaired Skin Site#3
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right knee
st: NotStopd

id: Incision/Wound #1
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: Level of Conscious
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Confused
st: NotStopd

id: Motor Response
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 6 Obeys Commands
st: NotStopd

id: Oral Cavity
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Teeth/Tissue WNL
st: NotStopd

id: Orientation
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oriented x 2
st: NotStopd

id: Position Change
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Reason For Restraint
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Pattern
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Responds to Stimuli
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: Restraint Location
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Behavior Conts
st: NotStopd

id: Side Rails
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Skin Color
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Flushed
st: NotStopd

id: Skin Integrity
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Impaired
st: NotStopd

id: Skin Temp/Condition
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Warm
v2: Dry
st: NotStopd

id: Spontaneous Movement
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purposeful
st: NotStopd

id: Support Systems
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: Temperature C (calc)
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 36.8889
n1: 36.8889
u1: Deg. C
st: NotStopd

id: Temperature F
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98.4
n1: 98.4
u1: Deg. F
st: NotStopd

id: Urine Color/Appear
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yellow
v2: Clear
st: NotStopd

id: Urine Source
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Indwelling Cath
st: NotStopd

id: Verbal Response
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Confused
st: NotStopd

id: Behavior
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Anxious
st: NotStopd

id: Pt./Family Informed
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

I/O Event

id: Urine Out Foley
t0: [12:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 65
vu: ml

Total I/O Event

id: Urine Out Total
t0: [23:00:00 28/02/2016]
el: 3
cg: RN
cu: CSRU
pv: 120
cv: 3125
ac: 24
ap: none
re: 0

[12:05:00 28/02/2016] start prev next end

Chart Event

id: Dorsal PedPulse R/L
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Weak Palpable
v2: Weak Palpable
st: NotStopd

id: Abdominal Assessment
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft
st: NotStopd

id: LLL Lung Sounds
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: LUL Lung Sounds
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: RLL Lung Sounds
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coarse
st: NotStopd

id: RUL Lung Sounds
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: Bowel Sounds
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Present
st: NotStopd

[12:29:00 28/02/2016] start prev next end

Chart Event

id: Pain Present
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Pain Assess Method
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pt Verbalized
st: NotStopd

id: Imp Skin Cleanse #1
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soap & H20
st: NotStopd

id: Imp Skin Cleanse #3
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Saline
st: NotStopd

id: ImpSkin Character #1
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abrasion
st: NotStopd

id: ImpSkin Character #3
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abrasion
st: NotStopd

id: ImpSkin Drain/Amt #3
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: ImpSkin Treatment #1
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Open to Air
st: NotStopd

id: ImpSkin Treatment #3
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Dry Sterile Dsg
st: NotStopd

id: ImpSkin Wound Base#1
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Red
st: NotStopd

id: ImpSkin Wound Base#3
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pink
st: NotStopd

id: ImpSkin Wth/Lth #3
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1 cm
v2: 1 cm
st: NotStopd

id: Inc Cleansing #1
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Saline
st: NotStopd

id: Inc Drainage/Amt #1
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Green
v2: Scant
st: NotStopd

id: Inc Dsg/Status #1
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Dry Sterile Dsg
v2: Changed
st: NotStopd

id: Pain Management
t0: [12:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
v1: IV Push
st: NotStopd

id: Fingerstick Glucose
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 116
n1: 116
rs: Manual
st: NotStopd

id: Braden Activity
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Chairfast
st: NotStopd

id: Braden Frict/Shear
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Problem
st: NotStopd

id: Braden Mobility
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Very Limited
st: NotStopd

id: Braden Moisture
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Occ. Moist
st: NotStopd

id: Braden Nutrition
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Prob. Inadequate
st: NotStopd

id: Braden Score
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 12
n1: 12
u1: number
st: NotStopd

id: Braden SensoryPercep
t0: [12:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Very Limited
st: NotStopd

I/O Event

id: Gastric Meds
t0: [08:00:00 28/02/2016]
el: 2
ai: 155
cg: RN
cu: CSRU
vo: 60
vu: ml

id: Stool Out Stool
t0: [12:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vu: ml
es: Medium

Total I/O Event

id: 24h Total In
t0: [23:00:00 28/02/2016]
el: 3
cg: RN
cu: CSRU
pv: 85
cv: 2889
ac: 24
ap: none
re: 0

id: PO/Gastric In Total
t0: [23:00:00 28/02/2016]
el: 3
cg: RN
cu: CSRU
cv: 60
ac: 24
ap: none
re: 0

id: Stool Out Total
t0: [23:00:00 28/02/2016]
el: 3
cg: RN
cu: CSRU
cv: 0
ac: 24
ap: carryForward
re: 0

id: Total Hourly Output
t0: [23:00:00 28/02/2016]
el: 3
cg: RN
cu: CSRU
pv: 120
cv: 120
ac: 1
ap: none
re: 0

id: 24h Net Body Balance
t0: [23:00:00 28/02/2016]
el: 3
cg: RN
cu: CSRU
pv: -35
cv: -241
ac: 24
ap: carryForward
re: 0

id: LOS Net Body Balance
t0: [23:00:00 28/02/2016]
el: 3
cg: RN
cu: CSRU
pv: -35
cv: 3524.1
ac: multiple days
ap: carryForward
re: 0

id: Net Hourly Balance
t0: [23:00:00 28/02/2016]
el: 3
cg: RN
cu: CSRU
pv: -35
cv: -35
ac: 1
ap: none
re: 0

id: 24h Total Out
t0: [23:00:00 28/02/2016]
el: 3
cg: RN
cu: CSRU
pv: 120
cv: 3130
ac: 24
ap: carryForward
re: 0

[14:00:00 28/02/2016] start prev next end

I/O Event

id: D5W 250.0ml + 8mcgkgmin Levophed-k
t0: [14:00:00 28/02/2016]
el: 2
ai: 210
cg: -1
cu: CSRU
vo: 0
st: D/C'd

id: .9% Normal Saline 50.0ml + 50mghr Midazolam
t0: [14:00:00 28/02/2016]
el: 1
ai: 274
cg: -1
cu: CSRU
vo: 0
st: D/C'd

[14:06:00 28/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Orientation
st: NotStopd

id: Range of Motion
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Service Type
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Service Type
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Code Status
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Calm/Cooperative
st: NotStopd

id: Risk for Falls
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Risk for Falls
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Frequency
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Education Barrier
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Education Handout
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Given
st: NotStopd

id: Education Learner
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sig Othr/Family
st: NotStopd

id: Education Method
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Explanation
st: NotStopd

id: Education Readiness
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Response
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Understands
st: NotStopd

id: Education Topic #1
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Disease Process
st: NotStopd

id: Education Topic #2
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Activity
st: NotStopd

id: Family Communication
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Family Called
st: NotStopd

id: HOB
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 30 degrees
st: NotStopd

id: Heart Rate
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 91
n1: 91
u1: BPM
st: NotStopd

id: Heart Rate
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 89
n1: 89
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Heart Rhythm
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Activity
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: Activity Tolerance
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Fair
st: NotStopd

id: Impaired Skin Site#1
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Impaired Skin Site#3
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right knee
st: NotStopd

id: Incision/Wound #1
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: Level of Conscious
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sleeping
st: NotStopd

id: NBP
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 62
n2: 62
u2: mmHg
st: NotStopd

id: NBP
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 101
n1: 101
u1: mmHg
v2: 64
n2: 64
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 68
n1: 68
u1: mmHg
st: NotStopd

id: NBP Mean
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 73
n1: 73
u1: mmHg
st: NotStopd

id: AntiEmbDevice/Status
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Position
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Side
st: NotStopd

id: Position Change
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Assistance Device
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: Precautions
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Reason For Restraint
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Pattern
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 22
n1: 22
u1: BPM
st: NotStopd

id: Respiratory Rate
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 17
n1: 17
u1: BPM
st: NotStopd

id: Restraint Location
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Behavior Conts
st: NotStopd

id: Side Rails
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Skin Care
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Skin Color
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Flushed
st: NotStopd

id: Skin Integrity
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Impaired
st: NotStopd

id: Skin Temp/Condition
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Warm
v2: Dry
st: NotStopd

id: SpO2
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: %
st: NotStopd

id: SpO2
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: %
st: NotStopd

id: Therapeutic Bed
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Side to Side
st: NotStopd

id: Back Care
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: calprevflg
t0: [13:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: calprevflg
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Behavior
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sleeping
st: NotStopd

id: Pt./Family Informed
t0: [14:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

I/O Event

id: TPN 1800.0ml
t0: [13:00:00 28/02/2016]
el: 1
ai: 168
cg: RN
cu: CSRU
vo: 42
vu: ml

id: TPN 1800.0ml
t0: [14:00:00 28/02/2016]
el: 1
ai: 168
cg: RN
cu: CSRU
vo: 42
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [13:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [14:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

[14:49:00 28/02/2016] start prev next end

I/O Event

id: Urine Out Foley
t0: [15:00:00 28/02/2016]
el: 1
cg: CoWker
cu: CSRU
vo: 340
vu: ml

[14:59:00 28/02/2016] start prev next end

Chart Event

id: Service Type
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Diet Type
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: TPN
st: NotStopd

id: Ectopy Frequency
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Alarms
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: ON
st: NotStopd

id: Parameters Checked
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Eye Opening
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Spontaneously
st: NotStopd

id: Follows Commands
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Consistently
st: NotStopd

id: GCS Total
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 14
n1: 14
u1: points
st: NotStopd

id: HOB
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 30 degrees
st: NotStopd

id: Heart Rate
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 108
n1: 108
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: Abdominal Assessment
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft
st: NotStopd

id: Activity
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: Activity Tolerance
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Fair
st: NotStopd

id: Level of Conscious
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Confused
st: NotStopd

id: Motor Response
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 6 Obeys Commands
st: NotStopd

id: NBP
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: mmHg
v2: 66
n2: 66
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 74
n1: 74
u1: mmHg
st: NotStopd

id: Oral Cavity
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Teeth/Tissue WNL
st: NotStopd

id: Orientation
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oriented x 1
st: NotStopd

id: AntiEmbDevice/Status
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Position
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Left Side
st: NotStopd

id: Assistance Device
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Pattern
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 17
n1: 17
u1: BPM
st: NotStopd

id: Responds to Stimuli
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: Skin Care
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: SpO2
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: %
st: NotStopd

id: Spontaneous Movement
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purposeful
st: NotStopd

id: Support Systems
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: Temp. Site
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oral
st: NotStopd

id: Temperature C (calc)
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 37.1667
n1: 37.1667
u1: Deg. C
st: NotStopd

id: Temperature F
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98.9
n1: 98.9
u1: Deg. F
st: NotStopd

id: Therapeutic Bed
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Side to Side
st: NotStopd

id: Urine Color/Appear
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yellow
v2: Clear
st: NotStopd

id: Urine Source
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Indwelling Cath
st: NotStopd

id: Verbal Response
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Confused
st: NotStopd

id: Back Care
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: calprevflg
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Behavior
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Anxious
st: NotStopd

id: Bowel Sounds
t0: [15:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Present
st: NotStopd

I/O Event

id: TPN 1800.0ml
t0: [15:00:00 28/02/2016]
el: 1
ai: 168
cg: RN
cu: CSRU
vo: 42
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [15:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: Stool Out Stool
t0: [15:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vu: ml
es: Small

[15:00:00 28/02/2016] start prev next end

Chart Event

id: INV#4Chg o/Wire Date
t0: [15:00:00 28/02/2016]
el: 0
cg: -1
cu: CSRU
st: D/C'd

id: INV Line#4 Site Date
t0: [15:00:00 28/02/2016]
el: 0
cg: -1
cu: CSRU
st: D/C'd

[15:52:00 28/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Incr Visibility
st: NotStopd

id: Pain Present
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Range of Motion
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Pain Assess Method
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pt Verbalized
st: NotStopd

id: Service Type
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Calm/Cooperative
st: NotStopd

id: Risk for Falls
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Education Barrier
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Altered LOC
st: NotStopd

id: Education Handout
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Given
st: NotStopd

id: Education Learner
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Patient
st: NotStopd

id: Education Method
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Explanation
st: NotStopd

id: Education Readiness
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Response
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Reinforced
st: NotStopd

id: Education Topic #1
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coping
st: NotStopd

id: Family Communication
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Family Called
st: NotStopd

id: Heart Rate
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: INV Line#4 Type/Site
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Multi-lumen
v2: Left Subclavian
st: NotStopd

id: INV Line#4InsertDate
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 12
n2: 12
st: NotStopd

id: INV Line#4SiteAppear
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: IV #1 Insert Date
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 17
n2: 17
st: NotStopd

id: IV #1 Site/Size
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Hand
v2: 20 gauge
st: NotStopd

id: IV Site Appear #1
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: Impaired Skin Site#1
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Impaired Skin Site#3
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right knee
st: NotStopd

id: Incision/Wound #1
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: Level of Conscious
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Confused
st: NotStopd

id: NBP
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: mmHg
v2: 69
n2: 69
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 76
n1: 76
u1: mmHg
st: NotStopd

id: O2 Delivery Device
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Nasal Cannula
st: NotStopd

id: O2 Flow (lpm)
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
u1: lpm
st: NotStopd

id: Pain Management
t0: [16:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
v1: IV Push
st: NotStopd

id: Position Change
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Precautions
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: INV#4 Dsg Change
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Reason For Restraint
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Pattern
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 19
n1: 19
u1: BPM
st: NotStopd

id: Restraint Location
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Behavior Conts
st: NotStopd

id: Side Rails
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Skin Color
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Flushed
st: NotStopd

id: Skin Integrity
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Impaired
st: NotStopd

id: Skin Temp/Condition
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Warm
v2: Dry
st: NotStopd

id: SpO2
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: %
st: NotStopd

id: Support Systems
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: INV#4 Cap Change
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: INV#4 Tubing Change
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: calprevflg
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Behavior
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Anxious
st: NotStopd

id: Pt./Family Informed
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [16:00:00 28/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 100
vu: ml

id: TPN 1800.0ml
t0: [16:00:00 28/02/2016]
el: 1
ai: 168
cg: RN
cu: CSRU
vo: 42
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [16:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: Urine Out Foley
t0: [16:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 110
vu: ml

[15:55:00 28/02/2016] start prev next end

Chart Event

id: Dorsal PedPulse R/L
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Weak Palpable
v2: Weak Palpable
st: NotStopd

id: LLL Lung Sounds
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: LUL Lung Sounds
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: RLL Lung Sounds
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: RUL Lung Sounds
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

[16:44:00 28/02/2016] start prev next end

Chart Event

id: Service Type
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 106
n1: 106
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: NBP
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 91
n1: 91
u1: mmHg
v2: 57
n2: 57
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 65
n1: 65
u1: mmHg
st: NotStopd

id: Precautions
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 17
n1: 17
u1: BPM
st: NotStopd

id: SpO2
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 96
n1: 96
u1: %
st: NotStopd

id: calprevflg
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: .9% Normal Saline 1000.0ml
t0: [17:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

[17:00:00 28/02/2016] start prev next end

Chart Event

id: IV #1 Reason DC'D
t0: [17:00:00 28/02/2016]
el: 0
cg: -1
cu: CSRU
st: D/C'd

id: IV #1 D/C Date
t0: [17:00:00 28/02/2016]
el: 0
cg: -1
cu: CSRU
st: D/C'd

id: IV #1 Insert Date
t0: [17:00:00 28/02/2016]
el: 0
cg: -1
cu: CSRU
st: D/C'd

id: IV #1 Site/Size
t0: [17:00:00 28/02/2016]
el: 0
cg: -1
cu: CSRU
st: D/C'd

id: IV Site Appear #1
t0: [17:00:00 28/02/2016]
el: 0
cg: -1
cu: CSRU
st: D/C'd

Delivery

io: TPN 1800.0ml
el: 1
cg: RN
cu: CSRU
lo: Left Subclavian
ra: 75
ru: ml/hr

[17:06:00 28/02/2016] start prev next end

Chart Event

id: HOB
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 45 degrees
st: NotStopd

id: Activity
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: Activity Tolerance
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Good
st: NotStopd

id: AntiEmbDevice/Status
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Position
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Supine
st: NotStopd

id: Assistance Device
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Skin Care
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Therapeutic Bed
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Side to Side
st: NotStopd

id: Back Care
t0: [17:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

I/O Event

id: TPN 1800.0ml
t0: [17:00:00 28/02/2016]
el: 1
ai: 168
cg: RN
cu: CSRU
vo: 75
vu: ml
nb: 1

id: Stool Out Stool
t0: [17:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vu: ml
es: Small

id: Urine Out Foley
t0: [17:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 120
vu: ml

[17:09:00 28/02/2016] start prev next end

Chart Event

id: IV #1 Reason DC'D
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Other/Remarks
st: NotStopd

id: IV #1 D/C Date
t0: [16:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

[17:32:00 28/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Orientation
st: NotStopd

id: Range of Motion
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Service Type
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Agitated
st: NotStopd

id: Risk for Falls
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Eye Opening
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Spontaneously
st: NotStopd

id: GCS Total
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 14
n1: 14
u1: points
st: NotStopd

id: Heart Rate
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 108
n1: 108
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: Level of Conscious
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Confused
st: NotStopd

id: Motor Response
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 6 Obeys Commands
st: NotStopd

id: NBP
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 101
n1: 101
u1: mmHg
v2: 64
n2: 64
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 73
n1: 73
u1: mmHg
st: NotStopd

id: Orientation
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oriented x 1
st: NotStopd

id: Position Change
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Precautions
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Reason For Restraint
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Agitated
st: NotStopd

id: Removed x 5 Mins
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Pattern
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 18
n1: 18
u1: BPM
st: NotStopd

id: Restraint Location
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Behavior Conts
st: NotStopd

id: Side Rails
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: SpO2
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 96
n1: 96
u1: %
st: NotStopd

id: Support Systems
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: Verbal Response
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Confused
st: NotStopd

id: calprevflg
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Behavior
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Anxious
st: NotStopd

id: Pt./Family Informed
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

I/O Event

id: TPN 1800.0ml
t0: [18:00:00 28/02/2016]
el: 1
ai: 168
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [18:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

[18:00:00 28/02/2016] start prev next end

Physician Order

pi: 4542873
hi: 27155
t0: [19:00:00 28/02/2016]
tf: [18:00:00 29/02/2016]
pt: IV Large Volume
st: Expired
rt: IV
fr: ONCE
ds: 20
iv: Amino Acid 4.25% with Electrolytes in 5% Dextrose 1000 ml
dn: 1
dt: 1
di: Doses
xu: Enter on Label

pi: 4542874
hi: 27155
t0: [19:00:00 28/02/2016]
tf: [12:00:00 01/03/2016]
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

[18:14:00 28/02/2016] start prev next end

Chart Event

id: Fingerstick Glucose
t0: [18:00:00 28/02/2016]
el: 0
cg: CoWker
cu: CSRU
v1: 165
n1: 165
rs: Manual
st: NotStopd

I/O Event

id: Urine Out Foley
t0: [18:00:00 28/02/2016]
el: 1
cg: CoWker
cu: CSRU
vo: 100
vu: ml

[18:37:00 28/02/2016] start prev next end

Chart Event

id: Service Type
t0: [19:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [19:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [19:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [19:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [19:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [19:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Follows Commands
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Consistently
st: NotStopd

id: Heart Rate
t0: [19:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 95
n1: 95
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [19:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Level of Conscious
t0: [19:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sleeping
st: NotStopd

id: NBP
t0: [19:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 56
n2: 56
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [19:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 64
n1: 64
u1: mmHg
st: NotStopd

id: Precautions
t0: [19:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [19:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [19:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [19:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [19:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Pattern
t0: [19:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [19:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 18
n1: 18
u1: BPM
st: NotStopd

id: Responds to Stimuli
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: SpO2
t0: [19:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: %
st: NotStopd

id: Spontaneous Movement
t0: [18:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purposeful
st: NotStopd

id: calprevflg
t0: [19:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Behavior
t0: [19:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sleeping
st: NotStopd

I/O Event

id: TPN 1800.0ml
t0: [19:00:00 28/02/2016]
el: 1
ai: 168
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [19:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

[19:50:00 28/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Orientation
st: NotStopd

id: Pain Present
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Range of Motion
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Pain Assess Method
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pt Verbalized
st: NotStopd

id: Service Type
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Agitated
st: NotStopd

id: Risk for Falls
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Diet Type
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: TPN
st: NotStopd

id: Dorsal PedPulse R/L
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Ectopy Frequency
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Alarms
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: ON
st: NotStopd

id: Parameters Checked
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Health Care Proxy
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Topic #1
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coping
st: NotStopd

id: Eye Opening
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Spontaneously
st: NotStopd

id: Follows Commands
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Inconsistently
st: NotStopd

id: GCS Total
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 14
n1: 14
u1: points
st: NotStopd

id: HOB
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 45 degrees
st: NotStopd

id: Heart Rate
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: INV Line#4 Type/Site
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Multi-lumen
v2: Left Subclavian
st: NotStopd

id: INV Line#4InsertDate
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 12
n2: 12
st: NotStopd

id: INV Line#4SiteAppear
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: Abdominal Assessment
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft
st: NotStopd

id: Activity
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: Activity Tolerance
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: Impaired Skin Site#1
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Impaired Skin Site#3
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right knee
st: NotStopd

id: Incision/Wound #1
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: LL Strength/Movement
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LLL Lung Sounds
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: LU Strength/Movement
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LUL Lung Sounds
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: Level of Conscious
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Alert
st: NotStopd

id: Motor Response
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 6 Obeys Commands
st: NotStopd

id: NBP
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 105
n1: 105
u1: mmHg
v2: 67
n2: 67
u2: mmHg
st: NotStopd

id: O2 Delivery Device
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Nasal Cannula
st: NotStopd

id: O2 Flow (lpm)
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
u1: lpm
st: NotStopd

id: Oral Care
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Oral Cavity
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Teeth/Tissue WNL
st: NotStopd

id: Orientation
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oriented x 2
st: NotStopd

id: AntiEmbDevice/Status
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Pain Location
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Back
st: NotStopd

id: Position
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Supine
st: NotStopd

id: Position Change
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: PostTib. Pulses R/L
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Assistance Device
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1 Person Assist
st: NotStopd

id: Precautions
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: INV#4 Dsg Change
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: RL Strength/Movement
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: RLL Lung Sounds
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: RU Strength/Movement
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: RUL Lung Sounds
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: Reason For Restraint
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Pattern
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 20
n1: 20
u1: BPM
st: NotStopd

id: Responds to Stimuli
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: Restraint Location
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Side Rails
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Skin Color
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Flushed
st: NotStopd

id: Skin Integrity
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Impaired
st: NotStopd

id: Skin Temp/Condition
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Warm
v2: Dry
st: NotStopd

id: SpO2
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 99
n1: 99
u1: %
st: NotStopd

id: Spontaneous Movement
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purposeful
st: NotStopd

id: Support Systems
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: INV#4 Cap Change
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: INV#4 Tubing Change
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: Temp. Site
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oral
st: NotStopd

id: Temperature C (calc)
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 36.6667
n1: 36.6667
u1: Deg. C
st: NotStopd

id: Temperature F
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: Deg. F
st: NotStopd

id: Therapeutic Bed
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Back
st: NotStopd

id: Urine Color/Appear
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yellow
v2: Clear
st: NotStopd

id: Urine Source
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Indwelling Cath
st: NotStopd

id: Verbal Response
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Confused
st: NotStopd

id: calprevflg
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Pt./Family Informed
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Bowel Sounds
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Present
st: NotStopd

id: Braden Activity
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedfast
st: NotStopd

id: Braden Frict/Shear
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Problem
st: NotStopd

id: Braden Mobility
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Very Limited
st: NotStopd

id: Braden Moisture
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Occ. Moist
st: NotStopd

id: Braden Nutrition
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Adequate
st: NotStopd

id: Braden Score
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 12
n1: 12
u1: number
st: NotStopd

id: Braden SensoryPercep
t0: [20:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Very Limited
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [20:00:00 28/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 250
vu: ml

id: TPN 1800.0ml
t0: [20:00:00 28/02/2016]
el: 1
ai: 168
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [20:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: Urine Out Foley
t0: [20:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 240
vu: ml

[21:20:00 28/02/2016] start prev next end

Chart Event

id: Service Type
t0: [21:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [21:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [21:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [21:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [21:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [21:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [21:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [21:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: NBP
t0: [21:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 102
n1: 102
u1: mmHg
v2: 72
n2: 72
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [21:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 80
n1: 80
u1: mmHg
st: NotStopd

id: Precautions
t0: [21:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [21:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [21:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [21:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [21:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [21:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 21
n1: 21
u1: BPM
st: NotStopd

id: SpO2
t0: [21:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: %
st: NotStopd

id: calprevflg
t0: [21:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [21:00:00 28/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 150
vu: ml

id: TPN 1800.0ml
t0: [21:00:00 28/02/2016]
el: 1
ai: 168
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [21:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: Stool Out Stool
t0: [21:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vu: ml
es: Medium

id: Urine Out Foley
t0: [21:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 200
vu: ml

[21:43:00 28/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Orientation
st: NotStopd

id: Range of Motion
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: bath
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: done

id: Service Type
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Topic #1
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coping
st: NotStopd

id: HOB
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 45 degrees
st: NotStopd

id: Heart Rate
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 101
n1: 101
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: Activity
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: Activity Tolerance
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: Imp Skin Cleanse #1
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soap & H20
st: NotStopd

id: Imp Skin Cleanse #3
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Saline
st: NotStopd

id: ImpSkin Character #1
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abrasion
st: NotStopd

id: ImpSkin Character #3
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abrasion
st: NotStopd

id: ImpSkin Drain/Amt #3
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: ImpSkin Drain/Amt#1
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: ImpSkin Wound Base#1
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Red
st: NotStopd

id: ImpSkin Wound Base#3
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pink
st: NotStopd

id: Impaired Skin Site#1
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Impaired Skin Site#3
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right knee
st: NotStopd

id: Inc Closure/Appear#1
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Other/Remarks
v2: Pink
st: NotStopd

id: Inc Drainage/Amt #1
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Green
v2: Scant
st: NotStopd

id: Inc Dsg/Status #1
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Dry Sterile Dsg
v2: Changed
st: NotStopd

id: Incision/Wound #1
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: NBP
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 105
n1: 105
u1: mmHg
v2: 69
n2: 69
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 78
n1: 78
u1: mmHg
st: NotStopd

id: O2 Delivery Device
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: AntiEmbDevice/Status
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Position
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Side
st: NotStopd

id: Position Change
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Assistance Device
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Reason For Restraint
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Rate
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 21
n1: 21
u1: BPM
st: NotStopd

id: Restraint Location
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Side Rails
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Skin Care
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Skin Integrity
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Impaired
st: NotStopd

id: Skin Temp/Condition
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Warm
v2: Dry
st: NotStopd

id: SpO2
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: Support Systems
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: Therapeutic Bed
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right Side
st: NotStopd

id: Back Care
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: calprevflg
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Pt./Family Informed
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [22:00:00 28/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 100
vu: ml

id: TPN 1800.0ml
t0: [22:00:00 28/02/2016]
el: 1
ai: 168
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [22:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: Urine Out Foley
t0: [22:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 60
vu: ml

[22:42:00 28/02/2016] start prev next end

Chart Event

id: Service Type
t0: [23:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [23:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [23:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [23:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [23:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [23:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [23:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 105
n1: 105
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [23:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: NBP
t0: [23:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 122
n1: 122
u1: mmHg
v2: 79
n2: 79
u2: mmHg
st: NotStopd

id: Precautions
t0: [23:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [23:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [23:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [23:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [23:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [23:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 23
n1: 23
u1: BPM
st: NotStopd

id: SpO2
t0: [23:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 99
n1: 99
u1: %
st: NotStopd

id: calprevflg
t0: [23:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: TPN 1800.0ml
t0: [23:00:00 28/02/2016]
el: 1
ai: 168
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [23:00:00 28/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: Urine Out Foley
t0: [23:00:00 28/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 120
vu: ml

[23:30:00 28/02/2016] start prev next end

Chart Event

id: Fingerstick Glucose
t0: [00:00:00 29/02/2016]
el: 0
cg: CoWker
cu: CSRU
v1: 117
n1: 117
rs: Manual
st: NotStopd

[23:33:00 28/02/2016] start prev next end

Chart Event

id: Pain Present
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Pain Assess Method
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pt Verbalized
st: NotStopd

id: Service Type
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Riker-SAS Scale
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Agitated
st: NotStopd

id: Risk for Falls
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Diet Type
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: TPN
st: NotStopd

id: Dorsal PedPulse R/L
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Ectopy Frequency
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Topic #1
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coping
st: NotStopd

id: Eye Opening
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Spontaneously
st: NotStopd

id: Follows Commands
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Inconsistently
st: NotStopd

id: GCS Total
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 13
n1: 13
u1: points
st: NotStopd

id: HOB
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 45 degrees
st: NotStopd

id: Heart Rate
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 118
n1: 118
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: INV Line#4 Type/Site
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Multi-lumen
v2: Left Subclavian
st: NotStopd

id: INV Line#4InsertDate
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 12
n2: 12
st: NotStopd

id: INV Line#4SiteAppear
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: Abdominal Assessment
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft
st: NotStopd

id: Activity
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: Activity Tolerance
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: ImpSkin Treatment #1
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Open to Air
st: NotStopd

id: Impaired Skin Site#1
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Impaired Skin Site#3
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right knee
st: NotStopd

id: Inc Dsg/Status #1
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Dry Sterile Dsg
st: NotStopd

id: Incision/Wound #1
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: LL Strength/Movement
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LLL Lung Sounds
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: LU Strength/Movement
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LUL Lung Sounds
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: Level of Conscious
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Confused
st: NotStopd

id: Motor Response
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 5 Localizes Pain
st: NotStopd

id: NBP
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 11
n1: 11
u1: mmHg
v2: 80
n2: 80
u2: mmHg
st: NotStopd

id: Oral Care
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Oral Cavity
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Teeth/Tissue WNL
st: NotStopd

id: Orientation
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oriented x 1
st: NotStopd

id: AntiEmbDevice/Status
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Pain Location
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Back
st: NotStopd

id: Position
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Left Side
st: NotStopd

id: Assistance Device
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: INV#4 Dsg Change
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: RL Strength/Movement
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: RLL Lung Sounds
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: RU Strength/Movement
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: RUL Lung Sounds
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: Respiratory Pattern
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 21
n1: 21
u1: BPM
st: NotStopd

id: Responds to Stimuli
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: Side Rails
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: Skin Color
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Flushed
st: NotStopd

id: Skin Color
t0: [22:00:00 28/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Flushed
st: NotStopd

id: Skin Integrity
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Impaired
st: NotStopd

id: Skin Temp/Condition
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Warm
v2: Dry
st: NotStopd

id: SpO2
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: %
st: NotStopd

id: Spontaneous Movement
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purposeful
st: NotStopd

id: Support Systems
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: INV#4 Cap Change
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: INV#4 Tubing Change
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: Temp. Site
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oral
st: NotStopd

id: Temperature C (calc)
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 37
n1: 37
u1: Deg. C
st: NotStopd

id: Temperature F
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98.6
n1: 98.6
u1: Deg. F
st: NotStopd

id: Therapeutic Bed
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Left Side
st: NotStopd

id: Urine Color/Appear
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yellow
v2: Clear
st: NotStopd

id: Urine Source
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Indwelling Cath
st: NotStopd

id: Verbal Response
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Confused
st: NotStopd

id: calprevflg
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Pt./Family Informed
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Bowel Sounds
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Present
st: NotStopd

I/O Event

id: TPN 1800.0ml
t0: [00:00:00 29/02/2016]
el: 1
ai: 168
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [00:00:00 29/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

[23:34:00 28/02/2016] start prev next end

I/O Event

id: Urine Out Foley
t0: [00:00:00 29/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 100
vu: ml

[00:55:00 29/02/2016] start prev next end

Chart Event

id: Service Type
t0: [01:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [01:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [01:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [01:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [01:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [01:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [01:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [01:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: NBP
t0: [01:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 115
n1: 115
u1: mmHg
v2: 73
n2: 73
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [01:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 83
n1: 83
u1: mmHg
st: NotStopd

id: Precautions
t0: [01:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [01:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [01:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [01:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [01:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [01:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 17
n1: 17
u1: BPM
st: NotStopd

id: SpO2
t0: [01:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: %
st: NotStopd

id: calprevflg
t0: [01:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [01:00:00 29/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 150
vu: ml

id: TPN 1800.0ml
t0: [01:00:00 29/02/2016]
el: 1
ai: 168
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [01:00:00 29/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: Urine Out Foley
t0: [01:00:00 29/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 200
vu: ml

[02:11:00 29/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Orientation
st: NotStopd

id: Less Restrict Meas.
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Orientation
st: NotStopd

id: Pain Present
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Range of Motion
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Range of Motion
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Pain Assess Method
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pt Verbalized
st: NotStopd

id: Service Type
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Circulation/SkinInt
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Topic #1
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coping
st: NotStopd

id: Heart Rate
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 100
n1: 100
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Impaired Skin Site#1
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Impaired Skin Site#3
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right knee
st: NotStopd

id: Incision/Wound #1
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: NBP
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97
n1: 97
u1: mmHg
v2: 58
n2: 58
u2: mmHg
st: NotStopd

id: Pain Location
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Back
st: NotStopd

id: Position Change
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Position Change
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Precautions
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Reason For Restraint
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Reason For Restraint
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Removed x 5 Mins
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Rate
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 18
n1: 18
u1: BPM
st: NotStopd

id: Restraint Location
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Location
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraint Type
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Restraints Evaluated
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Side Rails
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: SpO2
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: %
st: NotStopd

id: Support Systems
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: calprevflg
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Pt./Family Informed
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

I/O Event

id: TPN 1800.0ml
t0: [02:00:00 29/02/2016]
el: 1
ai: 168
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [02:00:00 29/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: Urine Out Foley
t0: [02:00:00 29/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 45
vu: ml

[02:49:00 29/02/2016] start prev next end

Chart Event

id: Service Type
t0: [03:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [03:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [03:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [03:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [03:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [03:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [03:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 89
n1: 89
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [03:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: NBP
t0: [03:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 101
n1: 101
u1: mmHg
v2: 61
n2: 61
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [03:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 70
n1: 70
u1: mmHg
st: NotStopd

id: O2 Delivery Device
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Precautions
t0: [03:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [03:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [03:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [03:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [03:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [03:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 16
n1: 16
u1: BPM
st: NotStopd

id: SpO2
t0: [03:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: %
st: NotStopd

id: calprevflg
t0: [03:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [02:00:00 29/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 50
vu: ml

id: TPN 1800.0ml
t0: [03:00:00 29/02/2016]
el: 1
ai: 168
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [03:00:00 29/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: Urine Out Foley
t0: [03:00:00 29/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 400
vu: ml

[03:22:00 29/02/2016] start prev next end

Chart Event

id: WBC   (4-11,000)
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 7.1
n1: 7.1
rs: Final
st: NotStopd

id: WBC
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 7.1
n1: 7.1
rs: Final
st: NotStopd

id: Hematocrit
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 30.8
n1: 30.8
u1: %
rs: Final
st: NotStopd

id: Hemoglobin
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 10.7
n1: 10.7
u1: gm/dl
rs: Final
st: NotStopd

id: Platelets
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 196
n1: 196
rs: Final
st: NotStopd

id: RBC
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 3.28
n1: 3.28
u1: /mic l
rs: Final
st: NotStopd

id: WBC (4-11,000)
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 7.1
n1: 7.1
rs: Final
st: NotStopd

[03:28:00 29/02/2016] start prev next end

Chart Event

id: Service Type
t0: [03:30:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [03:30:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [03:30:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [03:30:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [03:30:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [03:30:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [03:30:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 108
n1: 108
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [03:30:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: Precautions
t0: [03:30:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [03:30:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [03:30:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [03:30:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [03:30:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [03:30:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 22
n1: 22
u1: BPM
st: NotStopd

id: SpO2
t0: [03:30:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 95
n1: 95
u1: %
st: NotStopd

id: calprevflg
t0: [03:30:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

[03:34:00 29/02/2016] start prev next end

Chart Event

id: Service Type
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Diet Type
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: TPN
st: NotStopd

id: Dorsal PedPulse R/L
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Ectopy Frequency
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Topic #1
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coping
st: NotStopd

id: Eye Opening
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Spontaneously
st: NotStopd

id: Follows Commands
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Inconsistently
st: NotStopd

id: GCS Total
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 13
n1: 13
u1: points
st: NotStopd

id: Heart Rate
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 101
n1: 101
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: INV Line#4 Type/Site
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Multi-lumen
v2: Left Subclavian
st: NotStopd

id: INV Line#4InsertDate
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 12
n2: 12
st: NotStopd

id: INV Line#4SiteAppear
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: WNL
st: NotStopd

id: Abdominal Assessment
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft
st: NotStopd

id: ImpSkin Treatment #1
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Open to Air
st: NotStopd

id: Impaired Skin Site#1
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Impaired Skin Site#3
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right knee
st: NotStopd

id: Inc Dsg/Status #1
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Dry Sterile Dsg
v2: Intact
st: NotStopd

id: Incision/Wound #1
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: LL Strength/Movement
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LLL Lung Sounds
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: LU Strength/Movement
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: LUL Lung Sounds
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: Level of Conscious
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Confused
st: NotStopd

id: Motor Response
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 5 Localizes Pain
st: NotStopd

id: NBP
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 106
n1: 106
u1: mmHg
v2: 72
n2: 72
u2: mmHg
st: NotStopd

id: O2 Delivery Device
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Oral Care
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Oral Cavity
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Teeth/Tissue WNL
st: NotStopd

id: Orientation
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oriented x 1
st: NotStopd

id: PostTib. Pulses R/L
t0: [00:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: PostTib. Pulses R/L
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Easily Palpable
v2: Easily Palpable
st: NotStopd

id: Precautions
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: INV#4 Dsg Change
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: RL Strength/Movement
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Strength
st: NotStopd

id: RLL Lung Sounds
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Diminished
st: NotStopd

id: RU Strength/Movement
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Lifts and Holds
st: NotStopd

id: RUL Lung Sounds
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Clear
st: NotStopd

id: Respiratory Pattern
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Regular
st: NotStopd

id: Respiratory Rate
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 19
n1: 19
u1: BPM
st: NotStopd

id: Responds to Stimuli
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Verbal
v2: Localizes
st: NotStopd

id: Side Rails
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: SpO2
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 95
n1: 95
u1: %
st: NotStopd

id: Spontaneous Movement
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Purposeful
st: NotStopd

id: Sputum Color/Consist
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: White
v2: Thick
st: NotStopd

id: Sputum Source/Amt
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Expectorated
v2: Small
st: NotStopd

id: Support Systems
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: INV#4 Cap Change
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: INV#4 Tubing Change
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2
n1: 2
v2: 18
n2: 18
st: NotStopd

id: Temp. Site
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Oral
st: NotStopd

id: Temperature C (calc)
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 36.5556
n1: 36.5556
u1: Deg. C
st: NotStopd

id: Temperature F
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 97.8
n1: 97.8
u1: Deg. F
st: NotStopd

id: Urine Color/Appear
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yellow
v2: Clear
st: NotStopd

id: Urine Source
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Indwelling Cath
st: NotStopd

id: Verbal Response
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 4 Confused
st: NotStopd

id: calprevflg
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Pt./Family Informed
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Bowel Sounds
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Present
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [04:00:00 29/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 100
vu: ml

id: TPN 1800.0ml
t0: [04:00:00 29/02/2016]
el: 1
ai: 168
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [04:00:00 29/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: Urine Out Foley
t0: [04:00:00 29/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 120
vu: ml

[03:44:00 29/02/2016] start prev next end

I/O Event

id: Drain Out #1 Jackson Pratt
t0: [04:00:00 29/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 20
vu: ml

Total I/O Event

id: Drain #1 Total Out
t0: [23:00:00 29/02/2016]
el: 3
cg: RN
cu: CSRU
cv: 35
ac: 24
ap: none
re: 0

[03:54:00 29/02/2016] start prev next end

Chart Event

id: BUN
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 11
n1: 11
rs: Final
st: NotStopd

id: Calcium
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 8.7
n1: 8.7
u1: mg/dl
rs: Final
st: NotStopd

id: Chloride
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 99
n1: 99
rs: Final
st: NotStopd

id: Creatinine
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 0.4
n1: 0.4
rs: Final
st: NotStopd

id: Glucose
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 133
n1: 133
rs: Final
st: NotStopd

id: Magnesium
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 2
n1: 2
rs: Final
st: NotStopd

id: Phosphorous
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 3.8
n1: 3.8
u1: mEq/L
rs: Final
st: NotStopd

id: Potassium
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 3.6
n1: 3.6
rs: Final
st: NotStopd

id: Sodium
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 131
n1: 131
rs: Final
st: NotStopd

id: BUN (6-20)
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 11
n1: 11
rs: Final
st: NotStopd

id: Calcium (8.4-10.2)
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 8.7
n1: 8.7
u1: mg/dl
rs: Final
st: NotStopd

id: Carbon Dioxide
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 23
n1: 23
rs: Final
st: NotStopd

id: Chloride (100-112)
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 99
n1: 99
rs: Final
st: NotStopd

id: Creatinine (0-1.3)
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 0.4
n1: 0.4
rs: Final
st: NotStopd

id: Glucose (70-105)
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 133
n1: 133
rs: Final
st: NotStopd

id: Magnesium (1.6-2.6)
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 2
n1: 2
rs: Final
st: NotStopd

id: Phosphorous(2.7-4.5)
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 3.8
n1: 3.8
u1: mEq/L
rs: Final
st: NotStopd

id: Potassium (3.5-5.3)
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 3.6
n1: 3.6
rs: Final
st: NotStopd

id: Sodium (135-148)
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 131
n1: 131
rs: Final
st: NotStopd

[03:55:00 29/02/2016] start prev next end

Chart Event

id: PT
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 15.4
n1: 15.4
rs: Final
st: NotStopd

id: INR
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 1.4
n1: 1.4
rs: Final
st: NotStopd

id: PTT
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 36.3
n1: 36.3
rs: Final
st: NotStopd

id: INR (2-4 ref. range)
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 1.4
n1: 1.4
rs: Final
st: NotStopd

id: PT(11-13.5)
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 15.4
n1: 15.4
rs: Final
st: NotStopd

id: PTT(22-35)
t0: [02:51:00 29/02/2016]
el: 0
cg: 3161
cu: CSRU
v1: 36.3
n1: 36.3
rs: Final
st: NotStopd

[04:06:00 29/02/2016] start prev next end

Chart Event

id: Radiologic Study
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Chest Xray
st: NotStopd

[04:28:00 29/02/2016] start prev next end

I/O Event

id: Stool Out Stool
t0: [04:00:00 29/02/2016]
el: 1
cg: RN
cu: CSRU
vu: ml
es: Medium

[04:48:00 29/02/2016] start prev next end

Chart Event

id: Pain Present
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Pain Assess Method
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Pt Verbalized
st: NotStopd

id: Service Type
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: HOB
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 45 degrees
st: NotStopd

id: HOB
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 45 degrees
st: NotStopd

id: Heart Rate
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 108
n1: 108
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Sinus Tachy
st: NotStopd

id: Activity
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: Activity
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Bedrest
st: NotStopd

id: Activity Tolerance
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: Activity Tolerance
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Tolerated Well
st: NotStopd

id: Imp Skin Cleanse #1
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soap & H20
st: NotStopd

id: ImpSkin Character #1
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abrasion
st: NotStopd

id: ImpSkin Drain/Amt#1
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: ImpSkin Wound Base#1
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Red
st: NotStopd

id: NBP
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 108
n1: 108
u1: mmHg
v2: 55
n2: 55
u2: mmHg
st: NotStopd

id: AntiEmbDevice/Status
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: AntiEmbDevice/Status
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Compress Sleeves
v2: On
st: NotStopd

id: Pain Location
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Other/Remarks
st: NotStopd

id: Position
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Supine
st: NotStopd

id: Position
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Left Side
st: NotStopd

id: Assistance Device
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1 Person Assist
st: NotStopd

id: Assistance Device
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 2 Person Assist
st: NotStopd

id: Precautions
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Respiratory Rate
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 23
n1: 23
u1: BPM
st: NotStopd

id: Skin Care
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: SpO2
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 99
n1: 99
u1: %
st: NotStopd

id: Therapeutic Bed
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Therapeutic Bed
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: AtmosAir Mattres
st: NotStopd

id: Turn
t0: [02:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Back
st: NotStopd

id: Turn
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Left Side
st: NotStopd

id: Back Care
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: calprevflg
t0: [05:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

I/O Event

id: TPN 1800.0ml
t0: [05:00:00 29/02/2016]
el: 1
ai: 168
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [05:00:00 29/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: Urine Out Foley
t0: [05:00:00 29/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 140
vu: ml

[05:36:00 29/02/2016] start prev next end

Chart Event

id: Fingerstick Glucose
t0: [06:00:00 29/02/2016]
el: 0
cg: CoWker
cu: CSRU
v1: 139
n1: 139
rs: Manual
st: NotStopd

[05:57:00 29/02/2016] start prev next end

Chart Event

id: Less Restrict Meas.
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Less Restrict Meas.
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Medicated
st: NotStopd

id: Range of Motion
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Range of Motion
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Service Type
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Circulation/SkinInt
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Circulation/SkinInt
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Circulation Adeq
st: NotStopd

id: Code Status
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Education Topic #1
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coping
st: NotStopd

id: Heart Rate
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 91
n1: 91
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: Impaired Skin Site#1
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Coccyx
st: NotStopd

id: Impaired Skin Site#3
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Right knee
st: NotStopd

id: Incision/Wound #1
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Abdominal
st: NotStopd

id: NBP
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 98
n1: 98
u1: mmHg
v2: 59
n2: 59
u2: mmHg
st: NotStopd

id: NBP Mean
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 68
n1: 68
u1: mmHg
st: NotStopd

id: Position Change
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Position Change
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Precautions
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Contact
st: NotStopd

id: HR Alarm (Lo/Hi)
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 60
n1: 60
u1: BPM
v2: 120
n2: 120
u2: BPM
st: NotStopd

id: NBP Alarm (Lo/Hi)
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: mmHg
v2: 160
n2: 160
u2: mmHg
st: NotStopd

id: Resp Alarm (Lo/Hi)
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 8
n1: 8
u1: BPM
v2: 30
n2: 30
u2: BPM
st: NotStopd

id: SpO2 Alarm (Lo/Hi)
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 90
n1: 90
u1: %
v2: 100
n2: 100
u2: %
st: NotStopd

id: Reason For Restraint
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Reason For Restraint
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Ext/TXInterfere
st: NotStopd

id: Removed x 5 Mins
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Removed x 5 Mins
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Done
st: NotStopd

id: Respiratory Rate
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 20
n1: 20
u1: BPM
st: NotStopd

id: Restraint Location
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Location
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Both Arms
st: NotStopd

id: Restraint Type
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraint Type
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Soft Limb
st: NotStopd

id: Restraints Evaluated
t0: [04:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Restraints Evaluated
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: RestraintReapply
st: NotStopd

id: Side Rails
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: All rails up
st: NotStopd

id: SpO2
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 96
n1: 96
u1: %
st: NotStopd

id: Support Systems
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Relative
st: NotStopd

id: calprevflg
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 1
n1: 1
u1: kg
st: NotStopd

id: Pt./Family Informed
t0: [06:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

I/O Event

id: D5W 100.0ml
t0: [06:00:00 29/02/2016]
el: 2
ai: 416
cg: RN
cu: CSRU
vo: 100
vu: ml

id: TPN 1800.0ml
t0: [06:00:00 29/02/2016]
el: 1
ai: 168
cg: RN
cu: CSRU
vo: 75
vu: ml

id: .9% Normal Saline 1000.0ml
t0: [06:00:00 29/02/2016]
el: 1
ai: 107
cg: RN
cu: CSRU
vo: 10
vu: ml

id: Urine Out Foley
t0: [06:00:00 29/02/2016]
el: 1
cg: RN
cu: CSRU
vo: 120
vu: ml

[06:52:00 29/02/2016] start prev next end

Chart Event

id: Service Type
t0: [07:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: MICU
st: NotStopd

id: Code Status
t0: [07:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Full Code
st: NotStopd

id: Risk for Falls
t0: [07:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Ectopy Frequency
t0: [07:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Ectopy Type
t0: [07:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: None
st: NotStopd

id: Health Care Proxy
t0: [07:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Yes
st: NotStopd

id: Heart Rate
t0: [07:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 99
n1: 99
u1: BPM
st: NotStopd

id: Heart Rhythm
t0: [07:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: Normal Sinus
st: NotStopd

id: NBP
t0: [07:00:00 29/02/2016]
el: 0
cg: RN
cu: CSRU
v1: 10