This log is also available as text (109cc.txt) and as a (binary) annotation file (109cc.log).
Generated: Thursday, 23-Apr-2009 00:34:54 EDT
(All dates below are surrogates.)
id: Service Type t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 22/08/2018] 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 22/08/2018] 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 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 22/08/2018] 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 22/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [18:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [18:00:00 22/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 19.6612 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [18:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: .9% Normal Saline 250.0ml t0: [18:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [18:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [18:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 28.9275 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [18:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Arterial BP t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:30:00 22/08/2018] 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: [18:30:00 22/08/2018] 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: [17:30:00 22/08/2018] 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: [18:30:00 22/08/2018] 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: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: SpO2 t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [17:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:30:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [18:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 320 vu: ml
id: Fentanyl t0: [17:30:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:30:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:30:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [18:30:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [17:30:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 35.6 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [18:30:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 22.25 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [17:30:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [18:30:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 18.0952 n1: 18.0952 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 11.6 n1: 11.6 u1: L/min st: NotStopd id: Apnea Time Interval t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 41 n1: 41 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 38 n1: 38 u1: cmH2O st: NotStopd id: Pressure Support t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 1000 n1: 1000 st: NotStopd id: Ve High t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 375 n1: 375 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 22/08/2018] 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: [20:00:00 22/08/2018] 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 22/08/2018] 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: [20:00:00 22/08/2018] 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 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 22/08/2018] 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 22/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: calprevflg t0: [19:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [19:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [19:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 22.25 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [20:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Circulation/SkinInt t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 22/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Cavity t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position Change t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: RLL Lung Sounds t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: Urine Color/Appear t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [19:00:00 22/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 19.6612 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [20:00:00 22/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 19.6612 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [19:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 11.4996 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [20:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 9.99915 vu: ml id: Nepro t0: [16:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Nepro t0: [17:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [18:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [19:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [20:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml t0: [19:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml t0: [20:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Art.pH t0: [20:20:00 22/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Arterial Base Excess t0: [20:20:00 22/08/2018] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [20:20:00 22/08/2018] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [20:20:00 22/08/2018] el: 0 cg: 3161 cu: CSRU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [20:20:00 22/08/2018] el: 0 cg: 3161 cu: CSRU v1: 88 n1: 88 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [20:20:00 22/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd
id: Service Type t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 22/08/2018] 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 22/08/2018] 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 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 22/08/2018] 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 22/08/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [21:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [21:00:00 22/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 22.47 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [21:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8.988 vu: ml id: Gastric Meds t0: [20:00:00 22/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: Gastric Meds t0: [21:00:00 22/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 130 vu: ml id: Nepro t0: [21:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml t0: [21:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [20:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 240 vu: ml id: Urine Out Foley t0: [21:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [21:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [21:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [19:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [20:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [21:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 22/08/2018] el: 3 cg: RN cu: CSRU cv: 160 ac: 24 ap: none re: 0
id: Service Type t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 22/08/2018] 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 22/08/2018] 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 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 22/08/2018] 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 22/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [22:00:00 22/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 19.6612 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [22:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 8.988 vu: ml id: Nepro t0: [22:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml t0: [22:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [22:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [22:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [22:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [22:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV #3 Insert Date t0: [22:00:00 22/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #3 Site/Size t0: [22:00:00 22/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #3 t0: [22:00:00 22/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Service Type t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 22/08/2018] 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 22/08/2018] 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 22/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 22/08/2018] 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 22/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Skin Care t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [23:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [23:00:00 22/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 19.6612 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [23:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 6.741 vu: ml id: Nepro t0: [23:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml t0: [23:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 22/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [23:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 22/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [23:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [23:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Tube Feeds In Total t0: [23:00:00 22/08/2018] el: 3 cg: RN cu: CSRU pv: 10 cv: 80 ac: 24 ap: none re: 0
id: Dopamine t0: [23:00:00 22/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 25.3333 n1: 25.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: Mean Airway Pressure t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 11.6 n1: 11.6 u1: L/min st: NotStopd id: PEEP Set t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: Pressure Support t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 370 n1: 370 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [23:30:00 22/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: Heart Rate t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Orientation t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 23/08/2018] 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 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Source/Amt t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: None st: NotStopd id: Support Systems t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Fingerstick Glucose t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 185 n1: 185 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [00:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 160 vu: ml id: TF Residual t0: [20:00:00 22/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 40 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [00:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 16.8525 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [00:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 6.741 vu: ml id: Nepro t0: [00:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vu: ml st: Stopped id: .9% Normal Saline 250.0ml t0: [00:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [00:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [00:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [00:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [00:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Tube Feeds In Total t0: [23:00:00 23/08/2018] el: 3 cg: RN cu: CSRU pv: 25 cv: 245 ac: 24 ap: none re: 0
id: bath t0: [22:00:00 22/08/2018] el: 0 cg: RN cu: CSRU v1: done id: Service Type t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 23/08/2018] 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 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [01:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 16.8525 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [01:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 4.494 vu: ml id: .9% Normal Saline 250.0ml t0: [01:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [01:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [01:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [01:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [01:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Chloride t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 177 n1: 177 rs: Final st: NotStopd id: Potassium t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 5.6 n1: 5.6 rs: Final st: NotStopd id: Sodium t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd id: BUN (6-20) t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Carbon Dioxide t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 177 n1: 177 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 5.6 n1: 5.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [00:30:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 29.2308 n1: 29.2308 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: I:E Ratio t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Mean Airway Pressure t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 11.8 n1: 11.8 u1: L/min st: NotStopd id: Peak Insp. Pressure t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Pressure Support t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Sensitivity-Vent t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [02:15:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 23/08/2018] 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 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [02:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 16.8525 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [02:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 4.494 vu: ml id: .9% Normal Saline 250.0ml t0: [02:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [02:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [02:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [02:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped id: Dopamine t0: [02:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Heart Rate t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Orientation t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position Change t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:30:00 23/08/2018] 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: [02:30:00 23/08/2018] 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: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Urine Source t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [02:30:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Gastric Meds t0: [02:30:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 300 vu: ml
id: Fentanyl t0: [02:30:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:30:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [02:30:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [02:30:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 23/08/2018] el: 3 cg: RN cu: CSRU cv: 380 ac: 24 ap: none re: 0
id: Service Type t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GI Intub #1/Site t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Heart Rate t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Arterial BP t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 23/08/2018] 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 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Urine Source t0: [02:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [03:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 16.8525 vu: ml id: .9% Normal Saline 250.0ml t0: [03:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [03:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [03:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [03:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [03:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 23/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Cavity t0: [00:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Oral Cavity t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 23/08/2018] 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 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: INV#1 Cap Change t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [04:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 16.8525 vu: ml id: .9% Normal Saline 250.0ml t0: [04:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [04:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [04:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [04:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [04:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: CVP t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd
id: Art.pH t0: [04:27:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:27:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:27:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:27:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 39 n1: 39 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:27:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:27:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: WBC t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Hematocrit t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 31.1 n1: 31.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 10.8 n1: 10.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 281 n1: 281 rs: Final st: NotStopd id: RBC t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.53 n1: 3.53 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Code Status t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 23/08/2018] 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 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Chest Tube In st: NotStopd id: SpO2 t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [05:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CT #1 Drainage t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: CT #1 Fluctuate/Leak t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Negative v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [05:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 16.8525 vu: ml id: .9% Normal Saline 250.0ml t0: [05:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [05:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [05:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [05:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [05:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: CT #1 Crepitus t0: [04:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd
id: BUN t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Calcium t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 176 n1: 176 rs: Final st: NotStopd id: Magnesium t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 5.2 n1: 5.2 rs: Final st: NotStopd id: Sodium t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd id: BUN (6-20) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 176 n1: 176 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 5.2 n1: 5.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd
id: PT t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 12.4 n1: 12.4 rs: Final st: NotStopd id: INR t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 23.5 n1: 23.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 12.4 n1: 12.4 rs: Final st: NotStopd id: PTT(22-35) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 23.5 n1: 23.5 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 23/08/2018] 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 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 181 n1: 181 rs: Manual st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [06:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 16.8525 vu: ml id: .9% Normal Saline 250.0ml t0: [06:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [06:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [06:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [06:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Urine Out Foley t0: [06:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Compliance (40-60ml) t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 25.3333 n1: 25.3333 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: Mean Airway Pressure t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 11.9 n1: 11.9 u1: L/min st: NotStopd id: PEEP Set t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Pressure Support t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 385 n1: 385 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Type t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [06:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Radiologic Study t0: [06:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd
id: Procedures t0: [01:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd
id: Pain Present t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Code Status t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [07:00:00 23/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No Understanding st: NotStopd id: Education Topic #1 t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: Heart Rate t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Cavity t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 23/08/2018] 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: [07:00:00 23/08/2018] 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: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Side Rails t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Temp. Site t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Suction Amount t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: .9% Normal Saline t0: [07:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: TF Residual t0: [07:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 85 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [07:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 16.8525 vu: ml id: Gastric Meds t0: [07:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [07:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [07:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [07:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: HOB t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: AntiEmbDevice/Status t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Position Change t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Therapeutic Bed t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: CT #1 Crepitus t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Fluctuate/Leak t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Positive v2: Negative st: NotStopd
id: Urine Out Foley t0: [07:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: Compliance (40-60ml) t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 25.3333 n1: 25.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 9 n1: 9 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 11.2 n1: 11.2 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: Yellow v2: Thin st: NotStopd id: Sputum Source/Amt t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 360 n1: 360 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 23/08/2018] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Heart Rate t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [07:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Precautions t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 23/08/2018] 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: [08:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: INV#1 Cap Change t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: calprevflg t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [08:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [08:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 16.8525 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [08:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [08:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: HR Alarm (Lo/Hi) t0: [08:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd
id: Service Type t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rate t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sinus Brady st: NotStopd id: Arterial BP t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 48 n1: 48 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 23/08/2018] 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 23/08/2018] 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: [10:05:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:05:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:05:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [10:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 400 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [10:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 33.705 vu: ml id: Gastric Meds t0: [10:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [10:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [10:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [09:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:05:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:05:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [08:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped id: Dopamine t0: [09:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [10:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Arterial BP t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Precautions t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:25:00 23/08/2018] 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: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [10:25:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [10:25:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:25:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [10:25:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: TF Residual t0: [10:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vu: ml st: NotStopd
id: Insulin io: .9% Normal Saline 100.0ml + 100Uhr Insulin el: 100 cg: RN cu: CSRU am: 100 du: Uhr rt: IV Drip
id: Service Type t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 23/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
io: .9% Normal Saline el: 1 cg: RN cu: CSRU ra: 150 ru: ml/hr io: .9% Normal Saline el: 2 cg: RN cu: CSRU ra: 10 ru: ml/hr io: .9% Normal Saline 100.0ml + 100Uhr Insulin el: 1 cg: RN cu: CSRU ra: 1 ru: ml/hr
id: .9% Normal Saline 1000.0ml t0: [11:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [11:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 6.55375 vu: ml id: Nepro t0: [11:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [11:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Midazolam t0: [11:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [11:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline t0: [11:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [11:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Fentanyl t0: [11:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Insulin t0: [11:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: HOB t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Position t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Therapeutic Bed t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd
id: Triglyceride t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd id: Triglyceride (0-200) t0: [04:18:00 23/08/2018] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 23/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No Understanding st: NotStopd id: Education Topic #1 t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Orientation t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Fingerstick Glucose t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: .9% Normal Saline t0: [12:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [12:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [12:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 11.235 vu: ml id: Nepro t0: [12:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 1 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [12:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [12:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dopamine t0: [12:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Eye Care t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [12:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd
id: Insulin t0: [12:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: TF Residual t0: [12:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 20 vu: ml
id: Service Type t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Arterial BP t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [13:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 250 vu: ml id: .9% Normal Saline t0: [13:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [13:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 11.235 vu: ml id: Nepro t0: [13:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [13:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dopamine t0: [13:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Ectopy Frequency t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rhythm t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Fingerstick Glucose t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 rs: Manual st: NotStopd
id: Insulin t0: [13:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: TF Residual t0: [13:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 10 vu: ml
id: Urine Out Foley t0: [13:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Service Type t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 23/08/2018] 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: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [14:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dopamine t0: [14:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [14:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Eye Care t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Sputum Color/Consist t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thin st: NotStopd id: Sputum Source/Amt t0: [13:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Back Care t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 23/08/2018] el: 0 cg: PCT 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 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [15:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 151 n1: 151 rs: Manual st: NotStopd
id: .9% Normal Saline t0: [15:00:00 23/08/2018] el: 1 ai: 107 cg: PCT cu: CSRU vo: 500 vu: ml id: .9% Normal Saline t0: [15:00:00 23/08/2018] el: 2 ai: 107 cg: PCT cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 23/08/2018] el: 2 ai: 107 cg: PCT cu: CSRU vo: 20 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [15:00:00 23/08/2018] el: 1 ai: 189 cg: PCT cu: CSRU vo: 22.47 vu: ml id: Nepro t0: [15:00:00 23/08/2018] el: 1 ai: 112 cg: PCT cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 23/08/2018] el: 1 ai: 209 cg: PCT cu: CSRU vo: 6 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 23/08/2018] el: 1 ai: 107 cg: PCT cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [15:00:00 23/08/2018] el: 1 cg: PCT cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 23/08/2018] el: 1 ai: 112 cg: PCT cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [15:00:00 23/08/2018] el: 1 cg: PCT cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: CVP t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [15:00:00 23/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Alarms t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: HOB t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Pain Location t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: RLL Lung Sounds t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Type t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Sputum Color/Consist t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thin st: NotStopd id: Sputum Source/Amt t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [10:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Support Systems t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [15:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: Dopamine t0: [15:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Chest Tubes Left Pleural 1 t0: [15:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [16:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Insulin t0: [15:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [16:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Chest Tube Out Total t0: [23:00:00 23/08/2018] el: 3 cg: RN cu: CSRU cv: 10 ac: 24 ap: none re: 0
id: bath t0: [16:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Done id: Skin Care t0: [16:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Done st: NotStopd id: Back Care t0: [16:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Done st: NotStopd
id: Stool Out Rectal Tube t0: [16:00:00 23/08/2018] el: 1 cg: PCT cu: CSRU vo: 150 vu: ml id: Stool Out Stool t0: [16:00:00 23/08/2018] el: 1 cg: PCT cu: CSRU vu: ml es: Large
id: Compliance (40-60ml) t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 21.1111 n1: 21.1111 u1: ml/cmH st: NotStopd id: Compliance (40-60ml) t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: FiO2 Set t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: High Resp. Rate t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: I:E Ratio t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Inspired Gas Temp t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 11.8 n1: 11.8 u1: L/min st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 12.8 n1: 12.8 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: PEEP Set t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Apnea Time Interval t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 34 n1: 34 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 34 n1: 34 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Ve High t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sensitivity-Vent t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 395 n1: 395 u1: ml/B st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 390 n1: 390 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Mode t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Ventilator Type t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd id: Waveform-Vent t0: [16:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd
id: Fentanyl t0: [17:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Insulin t0: [17:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: .9% Normal Saline t0: [17:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 500 vu: ml id: .9% Normal Saline t0: [17:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [17:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 22.47 vu: ml id: Nepro t0: [16:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 7 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Urine Out Foley t0: [17:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Service Type t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 23/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [17:00:00 23/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [18:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [18:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 250 vu: ml id: .9% Normal Saline t0: [18:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [18:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 11.235 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [18:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [18:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Insulin t0: [18:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Nepro t0: [17:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: Nepro t0: [18:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml
id: Midazolam t0: [12:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 23/08/2018] el: 0 cg: PCT 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 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: calprevflg t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [19:00:00 23/08/2018] el: 0 cg: PCT cu: CSRU v1: 125 n1: 125 rs: Manual st: NotStopd
id: .9% Normal Saline t0: [19:00:00 23/08/2018] el: 1 ai: 107 cg: PCT cu: CSRU vo: 250 vu: ml id: .9% Normal Saline t0: [19:00:00 23/08/2018] el: 2 ai: 107 cg: PCT cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 23/08/2018] el: 2 ai: 107 cg: PCT cu: CSRU vo: 10 vu: ml id: Nepro t0: [19:00:00 23/08/2018] el: 1 ai: 112 cg: PCT cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 23/08/2018] el: 1 ai: 209 cg: PCT cu: CSRU vo: 3 vu: ml id: Stool Out Rectal Tube t0: [19:00:00 23/08/2018] el: 1 cg: PCT cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 23/08/2018] el: 1 ai: 107 cg: PCT cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [19:00:00 23/08/2018] el: 1 cg: PCT cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 23/08/2018] el: 1 ai: 112 cg: PCT cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [19:00:00 23/08/2018] el: 1 cg: PCT cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 23/08/2018] el: 1 cg: PCT cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 23/08/2018] el: 3 cg: PCT cu: CSRU cv: 650 ac: 24 ap: carryForward re: 0
id: Pain Present t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 23/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: Risk for Falls t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Arterial BP t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Plateau-Off t0: [20:00:00 23/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Compliance (40-60ml) t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 22.3529 n1: 22.3529 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 12.3 n1: 12.3 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Pressure Support t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Chest Tube Site #1 t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Heart Rhythm t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Ins/Exp Wheeze st: NotStopd id: Level of Conscious t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: RLL Lung Sounds t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: .9% Normal Saline t0: [20:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [20:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: TF Residual t0: [20:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [20:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: Nepro t0: [20:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [20:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 6 vu: ml
id: Service Type t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Skin Care t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: Therapeutic Bed t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [21:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [21:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [21:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [21:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [21:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: MDI #2 (Puff/Drug) t0: [21:00:00 23/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd
id: Service Type t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 rs: Manual st: NotStopd
id: .9% Normal Saline t0: [22:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [22:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [22:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [22:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [22:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Insulin t0: [19:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [20:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [21:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [22:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 23/08/2018] 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 23/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [23:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [23:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [23:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 23/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [23:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 23/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 23/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [23:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 23/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [23:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [23:00:00 23/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 23/08/2018] el: 3 cg: RN cu: CSRU pv: 203.5 cv: 7987.81 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 23/08/2018] el: 3 cg: RN cu: CSRU pv: 228.5 cv: 8612.8 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 23/08/2018] el: 3 cg: RN cu: CSRU pv: 45 cv: 45 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 23/08/2018] el: 3 cg: RN cu: CSRU pv: 45 cv: 1695 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 23/08/2018] el: 3 cg: RN cu: CSRU pv: 183.5 cv: 6257.81 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 23/08/2018] el: 3 cg: RN cu: CSRU pv: 183.5 cv: 15405.3 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 23/08/2018] el: 3 cg: RN cu: CSRU pv: 183.5 cv: 183.5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 23/08/2018] el: 3 cg: RN cu: CSRU pv: 45 cv: 2355 ac: 24 ap: carryForward re: 0
id: Compliance (40-60ml) t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 23.75 n1: 23.75 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 12.7 n1: 12.7 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 400 n1: 400 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Pain Assess Method t0: [20:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 24/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Method t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Family Communication t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: GCS Total t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [20:00:00 23/08/2018] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Pain Type t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Position t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Support Systems t0: [22:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Temp. Site t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Fingerstick Glucose t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [00:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: .9% Normal Saline t0: [00:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [00:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [00:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [00:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [00:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [00:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Arterial BP t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: INV#1 Cap Change t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: calprevflg t0: [01:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [01:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [01:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [01:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [01:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [01:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [01:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [02:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [02:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [02:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [02:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [02:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Position Change t0: [21:00:00 23/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Fingerstick Glucose t0: [02:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 rs: Manual st: NotStopd
id: Service Type t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [03:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [03:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [03:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [03:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [03:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [03:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [02:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [03:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 24/08/2018] el: 3 cg: Rn cu: CSRU pv: 57 cv: 6140.75 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 24/08/2018] el: 3 cg: Rn cu: CSRU pv: 82 cv: 6740.75 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 24/08/2018] el: 3 cg: Rn cu: CSRU pv: 25 cv: 25 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 24/08/2018] el: 3 cg: Rn cu: CSRU pv: 25 cv: 600 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 24/08/2018] el: 3 cg: Rn cu: CSRU pv: 25 cv: 1655 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 24/08/2018] el: 3 cg: Rn cu: CSRU pv: 57 cv: 4968.75 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 24/08/2018] el: 3 cg: Rn cu: CSRU pv: 57 cv: 20374 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 24/08/2018] el: 3 cg: Rn cu: CSRU pv: 57 cv: 57 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 24/08/2018] el: 3 cg: Rn cu: CSRU pv: 25 cv: 1772 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 24/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Insp Wheeze st: NotStopd id: LUL Lung Sounds t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Insp Wheeze st: NotStopd id: Level of Conscious t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Fingerstick Glucose t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 rs: Manual st: NotStopd id: Bowel Sounds t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: .9% Normal Saline t0: [04:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [04:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [04:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [04:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [04:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [04:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [03:55:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.31 n1: 7.31 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:55:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:55:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:55:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:55:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:55:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.31 n1: 7.31 rs: Final st: NotStopd
id: Lactic Acid t0: [03:55:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Ionized Calcium t0: [03:55:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1.18 n1: 1.18 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [03:55:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 21.1111 n1: 21.1111 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 12.6 n1: 12.6 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 34 n1: 34 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 390 n1: 390 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: WBC (4-11,000) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: WBC t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Hematocrit t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 26.3 n1: 26.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 9 n1: 9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 194 n1: 194 rs: Final st: NotStopd id: RBC t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.89 n1: 2.89 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Skin Care t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Therapeutic Bed t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [05:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [05:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [05:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PT t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 11.9 n1: 11.9 rs: Final st: NotStopd id: INR t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PTT t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 27.9 n1: 27.9 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 11.9 n1: 11.9 rs: Final st: NotStopd id: PTT(22-35) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 27.9 n1: 27.9 rs: Final st: NotStopd
id: BUN t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Calcium t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 126 n1: 126 rs: Final st: NotStopd id: Magnesium t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 126 n1: 126 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:31:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [05:00:00 24/08/2018] el: 1 ai: 189 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: MDI #2 (Puff/Drug) t0: [05:30:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd
id: Service Type t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 rs: Manual st: NotStopd
id: .9% Normal Saline t0: [05:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [05:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [06:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [06:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [00:00:00 24/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [01:00:00 24/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [02:00:00 24/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [03:00:00 24/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [04:00:00 24/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [19:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [20:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [21:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [22:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [23:00:00 23/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vu: ml id: Nepro t0: [05:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: Nepro t0: [06:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: Stool Out Rectal Tube t0: [06:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Chest Tubes Left Pleural 1 t0: [06:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 17 vu: ml id: Urine Out Foley t0: [06:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 130 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [06:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [06:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 24/08/2018] el: 3 cg: RN cu: CSRU cv: 100 ac: 24 ap: none re: 0 id: Chest Tube Out Total t0: [23:00:00 24/08/2018] el: 3 cg: RN cu: CSRU cv: 17 ac: 24 ap: none re: 0
id: CT #1 Fluctuate/Leak t0: [04:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Positive v2: Negative st: NotStopd
id: ETT Mark/Location t0: [06:30:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [06:30:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [06:30:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [06:30:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [06:30:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: MDI #2 (Puff/Drug) t0: [06:30:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd
id: Compliance (40-60ml) t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 23.75 n1: 23.75 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 12.4 n1: 12.4 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: White v2: Frothy st: NotStopd id: Sputum Source/Amt t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 385 n1: 385 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: CT #1 Fluctuate/Leak t0: [08:00:00 24/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Fingerstick Glucose t0: [08:00:00 24/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 24/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No Understanding st: NotStopd id: Education Topic #1 t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 24/08/2018] 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: [08:00:00 24/08/2018] 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: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Temp. Site t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: .9% Normal Saline t0: [07:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [07:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [08:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [08:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [07:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: Nepro t0: [08:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [08:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [07:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [07:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [08:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 24/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [09:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [09:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Hematocrit t0: [07:44:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 26.5 n1: 26.5 u1: % rs: Final st: NotStopd
id: Service Type t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 24/08/2018] 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: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [09:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [09:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [10:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [10:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [09:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: Nepro t0: [10:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [09:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [10:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [10:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [10:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [10:00:00 24/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd
id: Service Type t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: calprevflg t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [11:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [11:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [11:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [11:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [11:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [11:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 21.1111 n1: 21.1111 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: MDI #2 (Puff/Drug) t0: [10:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 12.9 n1: 12.9 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 34 n1: 34 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 400 n1: 400 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 24/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 118 n1: 118 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 24/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [11:00:00 24/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 24/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Handout t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Learner t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Method t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Readiness t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Response t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No Understanding st: NotStopd id: Education Topic #1 t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #1 Site/Size t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Insert Date t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: IV #2 Site/Size t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Insp Wheeze st: NotStopd id: LUL Lung Sounds t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Position t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [10:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Support Systems t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Cap Change t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [12:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: .9% Normal Saline t0: [12:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [12:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [12:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [12:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [12:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [12:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: HOB t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Position t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 24/08/2018] 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 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 24/08/2018] 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 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Therapeutic Bed t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: calprevflg t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [13:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [13:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [14:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [14:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [13:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: Nepro t0: [14:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [13:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: Urine Out Foley t0: [14:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [13:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [13:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [14:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Hematocrit t0: [12:20:00 24/08/2018] el: 0 cg: 3161 cu: CSRU v1: 28.6 n1: 28.6 u1: % rs: Final st: NotStopd
id: Fingerstick Glucose t0: [14:00:00 24/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 122 n1: 122 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 12.7 n1: 12.7 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 34 n1: 34 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 390 n1: 390 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Type t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 24/08/2018] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 24/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [14:00:00 24/08/2018] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 24/08/2018] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: GI Prophylaxis t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Method t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Insp Wheeze st: NotStopd id: LUL Lung Sounds t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Orientation t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Position t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 24/08/2018] 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: [16:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Therapeutic Bed t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [15:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [16:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: .9% Normal Saline t0: [15:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [15:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [16:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [16:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [15:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: Nepro t0: [16:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [15:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [16:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 170 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [15:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [15:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [16:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [16:00:00 24/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 116 n1: 116 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [17:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [17:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [17:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [17:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [17:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [17:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [17:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [18:00:00 24/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 126 n1: 126 rs: Manual st: NotStopd
id: Service Type t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [18:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [18:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline t0: [18:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 24/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [18:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 24/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 24/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [18:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 24/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [18:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [18:00:00 24/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Ventilator Mode t0: [16:00:00 24/08/2018] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd
id: .9% Normal Saline t0: [19:00:00 24/08/2018] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: LUL Lung Sounds t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 24/08/2018] 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: [20:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Therapeutic Bed t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [19:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd id: CT #1 Drainage t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 20 cm st: NotStopd
id: .9% Normal Saline t0: [19:00:00 24/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [20:00:00 24/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 24/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 24/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [19:00:00 24/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: Nepro t0: [20:00:00 24/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 24/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 24/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 24/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 22.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 24/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [20:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 24/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 24/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [19:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 225 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [19:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [20:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 23.75 n1: 23.75 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 12.8 n1: 12.8 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Pressure Support t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 388 n1: 388 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 24/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Temperature C (calc) t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd
id: Education Barrier t0: [20:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [20:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [20:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [20:00:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd
id: Chest Tube Site #1 t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: GI Prophylaxis t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: GI#1 Intub Site t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Abdominal Assessment t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LUL Lung Sounds t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: RLL Lung Sounds t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Urine Color/Appear t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CT #1 Crepitus t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [20:05:00 24/08/2018] el: 0 cg: RN cu: CSRU v1: 20 cm st: NotStopd
id: Service Type t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: HOB t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 24/08/2018] 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: [21:00:00 24/08/2018] 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: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Skin Care t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Right Side st: NotStopd id: Back Care t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:30:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [21:00:00 24/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 24/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [21:00:00 24/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 24/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 24/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 23.75 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 24/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 7.5 vu: ml
id: Fentanyl t0: [20:30:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:30:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [20:30:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [21:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: TF Residual t0: [20:00:00 24/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [21:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 120 vu: ml
id: Alarms t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd
id: Fingerstick Glucose t0: [20:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 118 n1: 118 rs: Manual st: NotStopd
id: Fentanyl t0: [21:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Chest Tube Site #1 t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Right Anterior st: NotStopd id: Diet Type t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Respiratory Pattern t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Urine Source t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: CT #1 Crepitus t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Positive st: NotStopd id: CT #1 Suction Amount t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 20 cm st: NotStopd
id: Service Type t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 133 n1: 133 rs: Manual st: NotStopd
id: .9% Normal Saline t0: [22:00:00 24/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 24/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [22:00:00 24/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 24/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 24/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [22:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 24/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [22:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [22:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Service Type t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: HOB t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 24/08/2018] 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 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Significnt Other st: NotStopd id: Therapeutic Bed t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [23:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd
id: .9% Normal Saline t0: [23:00:00 24/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 24/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [23:00:00 24/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 24/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 24/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [23:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 24/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [23:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [23:00:00 24/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [00:00:00 25/08/2018] el: 0 cg: CoWkr cu: CSRU v1: 147 n1: 147 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 22.3529 n1: 22.3529 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 410 n1: 410 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: bath t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done id: Pain Assess Method t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temperature C (calc) t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: CT #1 Crepitus t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 20 cm st: NotStopd
id: .9% Normal Saline t0: [00:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [00:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 25/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 25/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [00:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [00:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [00:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Position t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Left Side st: NotStopd id: Precautions t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Turn t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [01:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [01:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 25/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 25/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [01:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [01:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [01:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Heart Rate t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [02:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [02:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 25/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 25/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [02:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [02:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [02:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Chest Tubes Left Pleural 1 t0: [02:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 13 vu: ml
id: Chest Tube Out Total t0: [23:00:00 25/08/2018] el: 3 cg: RN cu: CSRU cv: 28 ac: 24 ap: none re: 0
id: ETT Position Change t0: [01:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Sputum Color/Consist t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [21:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Suctioned v2: Scant st: NotStopd
id: Fingerstick Glucose t0: [03:00:00 25/08/2018] el: 0 cg: CoWkr cu: CSRU v1: 123 n1: 123 rs: Manual st: NotStopd
id: Service Type t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Source/Amt t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Suctioned v2: None st: NotStopd id: calprevflg t0: [03:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [03:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [03:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 25/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 25/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [03:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [03:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [03:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 25/08/2018] el: 3 cg: Rn cu: CSRU pv: 57 cv: 3968 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 25/08/2018] el: 3 cg: Rn cu: CSRU pv: 82 cv: 4688 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 25/08/2018] el: 3 cg: Rn cu: CSRU pv: 100 cv: 100 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 25/08/2018] el: 3 cg: Rn cu: CSRU pv: 25 cv: 600 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 25/08/2018] el: 3 cg: Rn cu: CSRU pv: 100 cv: 3240 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 25/08/2018] el: 3 cg: Rn cu: CSRU pv: -18 cv: 1420 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 25/08/2018] el: 3 cg: Rn cu: CSRU pv: -18 cv: 21794 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 25/08/2018] el: 3 cg: Rn cu: CSRU pv: -18 cv: -18 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 25/08/2018] el: 3 cg: Rn cu: CSRU pv: 100 cv: 3268 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 21.1111 n1: 21.1111 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: L/min st: NotStopd id: PEEP Set t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 34 n1: 34 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Pressure Support t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 370 n1: 370 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:30:00 25/08/2018] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Intact st: NotStopd id: Skin Integrity t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Intact st: NotStopd id: Skin Integrity t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Intact st: NotStopd id: Skin Integrity t0: [22:00:00 24/08/2018] el: 0 cg: Rn cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Significnt Other st: NotStopd id: Support Systems t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temperature C (calc) t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [02:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Behavior t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: CT #1 Crepitus t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Positive st: NotStopd id: CT #1 Drainage t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [04:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 20 cm st: NotStopd
id: .9% Normal Saline t0: [04:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: TF Residual t0: [00:00:00 25/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 0 vu: ml id: TF Residual t0: [04:00:00 25/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [04:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 25/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 25/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [04:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [04:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [04:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: WBC t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Hematocrit t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 26.1 n1: 26.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 188 n1: 188 rs: Final st: NotStopd id: RBC t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd
id: PT t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 11.6 n1: 11.6 rs: Final st: NotStopd id: INR t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PTT t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 27.8 n1: 27.8 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 11.6 n1: 11.6 rs: Final st: NotStopd id: PTT(22-35) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 27.8 n1: 27.8 rs: Final st: NotStopd
id: BUN t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Calcium t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 101 n1: 101 rs: Final st: NotStopd id: Magnesium t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 101 n1: 101 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:21:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd
id: Art.pH t0: [04:30:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd id: Glucose t0: [04:30:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 93 n1: 93 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:30:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:30:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:30:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:30:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 100 n1: 100 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:30:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:30:00 25/08/2018] el: 0 cg: 3161 cu: CSRU v1: 93 n1: 93 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [05:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [05:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: .9% Normal Saline t0: [05:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [05:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 25/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 25/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [05:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Glucose t0: [06:00:00 25/08/2018] el: 0 cg: CoWkr cu: CSRU v1: 120 n1: 120 rs: Manual st: NotStopd id: Glucose (70-105) t0: [06:00:00 25/08/2018] el: 0 cg: CoWkr cu: CSRU v1: 120 n1: 120 rs: Manual st: NotStopd
id: Urine Out Foley t0: [06:00:00 25/08/2018] el: 1 cg: CoWkr cu: CSRU vo: 80 vu: ml
id: Service Type t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: HOB t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: Right Side st: NotStopd id: calprevflg t0: [06:00:00 25/08/2018] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [06:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 25/08/2018] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Nepro t0: [06:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 25/08/2018] el: 1 ai: 209 cg: Rn cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 25/08/2018] el: 1 ai: 107 cg: Rn cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 25/08/2018] el: 1 ai: 112 cg: Rn cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [06:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [06:00:00 25/08/2018] el: 1 cg: Rn cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 22.3529 n1: 22.3529 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 12.4 n1: 12.4 u1: L/min st: NotStopd id: PEEP Set t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 398 n1: 398 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [07:45:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: IV #1 Reason DC'D t0: [08:00:00 25/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: Risk for Falls t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Commun Barrier st: NotStopd id: Education Handout t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #2 t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 D/C Date t0: [08:00:00 25/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 Insert Date t0: [08:00:00 25/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 Site/Size t0: [08:00:00 25/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 Insert Date t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 25/08/2018] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #2 t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [08:00:00 25/08/2018] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Arterial BP Mean t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 25/08/2018] 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: [08:00:00 25/08/2018] 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: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Skin Care t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: INV#1 Cap Change t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Turn t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [07:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CT #1 Crepitus t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: CT #1 Drainage t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline t0: [07:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [08:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 25/08/2018] el: 1 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro t0: [07:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: Nepro t0: [08:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 25/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 25/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 25/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 25/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [08:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 125 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [07:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [07:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Glucose t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 rs: Manual st: NotStopd id: Glucose (70-105) t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 rs: Manual st: NotStopd
id: Insulin t0: [08:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [09:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [09:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [09:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 25/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 25/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [09:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [09:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [09:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Glucose t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 rs: Manual st: NotStopd id: Ectopy Frequency t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 25/08/2018] 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: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Glucose (70-105) t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 rs: Manual st: NotStopd
id: .9% Normal Saline t0: [10:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [10:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 25/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 25/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [10:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [10:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [10:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Mean Airway Pressure t0: [10:44:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: PEEP Set t0: [10:44:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [10:44:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [10:44:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd
id: Service Type t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [11:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [11:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [11:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 25/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 25/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [11:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [11:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [11:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 25/08/2018] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Commun Barrier st: NotStopd id: Education Handout t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 25/08/2018] 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [10:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: Support Systems t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Significnt Other st: NotStopd id: INV#1 Cap Change t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 7 n2: 7 st: NotStopd id: Temp. Site t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Turn t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yellow st: NotStopd id: Urine Source t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CT #1 Crepitus t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: CT #1 Drainage t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [08:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: H2O Seal st: NotStopd id: CT #1 Suction Amount t0: [12:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: H2O Seal st: NotStopd
id: .9% Normal Saline t0: [12:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [12:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 25/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 25/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [12:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [12:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 250 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [12:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Glucose t0: [12:00:00 25/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 119 n1: 119 rs: Manual st: NotStopd id: Glucose (70-105) t0: [12:00:00 25/08/2018] el: 0 cg: CoOPst cu: CSRU v1: 119 n1: 119 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 21.1111 n1: 21.1111 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 7 n1: 7 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 12.2 n1: 12.2 u1: L/min st: NotStopd id: PEEP Set t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Ve High t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: 380 n1: 380 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:30:00 25/08/2018] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 25/08/2018] 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 25/08/2018] 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 25/08/2018] 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 25/08/2018] 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 25/08/2018] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [13:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 25/08/2018] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [13:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [14:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 25/08/2018] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [13:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: Nepro t0: [14:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 25/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 25/08/2018] el: 1 ai: 209 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 25/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 25/08/2018] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [13:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [14:00:00 25/08/2018] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 25/08/2018] el: 1 ai: 112 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [13:00:00 25/08/2018] el: 1 cg