This log is also available as text (207ac.txt) and as a (binary) annotation file (207ac.log).
Generated: Thursday, 23-Apr-2009 00:35:05 EDT
(All dates below are surrogates.)
id: SAPS-I t0: [00:00:00 01/04/2015] el: 0 cg: LCP cu: LCP at MIT n1: 21
id: BSA t0: [10:33:00 01/04/2015] el: 1033 cg: 1531 cu: CCU id: Admit Wt t0: [10:33:00 01/04/2015] el: 1032 cg: 1531 cu: CCU id: Allergy 1 t0: [10:33:00 01/04/2015] el: 1020 cg: 1531 cu: CCU id: Diagnosis/op t0: [10:33:00 01/04/2015] el: 1023 cg: 1531 cu: CCU v1: CARDIAC ARREST id: Service t0: [10:33:00 01/04/2015] el: 1026 cg: 1531 cu: CCU v1: CME id: Admit Ht t0: [10:33:00 01/04/2015] el: 1034 cg: 1531 cu: CCU id: Readmission t0: [10:33:00 01/04/2015] el: 1014 cg: 1531 cu: CCU id: Marital Status t0: [10:33:00 01/04/2015] el: 1006 cg: 1531 cu: CCU v1: M id: Religion t0: [10:33:00 01/04/2015] el: 1000 cg: 1531 cu: CCU v1: OTR id: Allergy 2 t0: [10:33:00 01/04/2015] el: 1021 cg: 1531 cu: CCU id: Ext t0: [10:33:00 01/04/2015] el: 1010 cg: 1531 cu: CCU id: Allergy 3 t0: [10:33:00 01/04/2015] el: 1022 cg: 1531 cu: CCU
pi: 4528786 hi: 19700 t0: [12:00:00 01/04/2015] tf: [17:00:00 01/04/2015] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
id: Lidocaine io: D5W 500.0ml + 2mgmin Lidocaine el: 100 cg: RN cu: CCU am: 2 du: mgmin rt: IV Drip
io: D5W 500.0ml + 2mgmin Lidocaine el: 1 cg: RN cu: CCU ra: 30 ru: ml/hr
pi: 4528816 hi: 19700 t0: [10:00:00 01/04/2015] tf: [13:00:00 11/04/2015] mn: Aspirin pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4528817 hi: 19700 t0: [13:00:00 01/04/2015] tf: [08:00:00 02/04/2015] mn: Lidocaine pt: IV Piggyback st: Discontinued rt: IV fr: INFUSION di: Ongoing xv: 36 xu: Hours pi: 4528818 hi: 19700 t0: [13:00:00 01/04/2015] tf: [13:00:00 11/04/2015] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4528819 hi: 19700 t0: [13:00:00 01/04/2015] tf: [06:00:00 12/04/2015] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 1:4.4 st: NotStopd id: Airway Size t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 9.2 n1: 9.2 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Pressure Support t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 647 n1: 647 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Readmit <48 hrs t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Eye Opening t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: Heart Rate t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Level of Conscious t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Motor Response t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: NBP t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Orientation t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Precautions t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Respiratory Pattern t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Verbal Response t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pre-Admission Output Pre-Admission Output t0: [12:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Lidocaine t0: [12:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: 24h Net Body Balance t0: [23:00:00 01/04/2015] el: 2 cg: RN cu: CCU pv: -43 cv: -533 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 01/04/2015] el: 2 cg: RN cu: CCU pv: -43 cv: -533 ac: multiple days ap: none re: 0 id: 24h Total Out t0: [23:00:00 01/04/2015] el: 2 cg: RN cu: CCU pv: 80 cv: 1000 ac: 24 ap: none re: 0
id: IV #1 Insert Date t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #2 Insert Date t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Restraint Location t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Support Systems t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Braden Activity t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: Service Type t0: [13:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rhythm t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Precautions t0: [13:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd
id: Lidocaine t0: [13:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: Pain Present t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [14:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Daily Wake Up t0: [12:00:00 01/04/2015] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [14:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [14:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [14:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IV #1 Site/Size t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 16 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: 16 gauge st: NotStopd id: Activity t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: LLL Lung Sounds t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: NBP t0: [13:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 173 n1: 173 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Oral Cavity t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Assistance Device t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Rate t0: [13:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [14:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 35.7778 n1: 35.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 96.4 n1: 96.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: calprevflg t0: [13:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 01/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: D5W 500.0ml + 2mgmin Lidocaine t0: [12:00:00 01/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: Lidocaine t0: [14:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: Art.pH t0: [15:14:00 01/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: Arterial Base Excess t0: [15:14:00 01/04/2015] el: 0 cg: 1663 cu: CCU v1: -4 n1: -4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [15:14:00 01/04/2015] el: 0 cg: 1663 cu: CCU v1: 19 n1: 19 rs: Final st: NotStopd id: Arterial PaCO2 t0: [15:14:00 01/04/2015] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [15:14:00 01/04/2015] el: 0 cg: 1663 cu: CCU v1: 174 n1: 174 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [15:14:00 01/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.39 n1: 7.39 rs: Final st: NotStopd
id: ETT Mark/Location t0: [15:20:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:20:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [15:20:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [15:20:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [15:20:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Respiratory Rate Set t0: [15:20:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ventilator Type t0: [15:20:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Pain Present t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [15:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Daily Wake Up t0: [16:00:00 01/04/2015] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [15:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [15:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Family Communication t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: GI Intub #1/Site t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Heart Rate t0: [15:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: NBP t0: [15:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 187 n1: 187 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 197 n1: 197 u1: mmHg v2: 95 n2: 95 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 185 n1: 185 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spiritual Support t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Clergy Declined st: NotStopd id: Urine Color/Appear t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [15:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 01/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 40 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [14:00:00 01/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [16:00:00 01/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [14:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Lidocaine t0: [15:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip id: Lidocaine t0: [16:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 85.7143 n1: 85.7143 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 1:4 st: NotStopd id: Airway Size t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Pressure Support t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 573 n1: 573 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
pi: 4529880 hi: 19700 t0: [18:00:00 01/04/2015] tf: [17:00:00 02/04/2015] mn: Metoprolol pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4529884 hi: 19700 t0: [18:00:00 01/04/2015] tf: [07:00:00 08/04/2015] mn: Nitroglycerin pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4529889 hi: 19700 t0: [18:00:00 01/04/2015] tf: [17:00:00 01/04/2015] mn: Nitroglycerin pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4529915 hi: 19700 t0: [20:00:00 01/04/2015] tf: [00:00:00 02/04/2015] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [17:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Arterial BP Mean t0: [17:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Respiratory Rate t0: [17:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: calprevflg t0: [17:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lidocaine t0: [17:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: Nitroglycerine-k io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k el: 100 cg: RN cu: CCU am: 100 du: mcgkgmin rt: IV Drip
id: NBP Alarm (Lo/Hi) t0: [18:00:00 01/04/2015] el: 0 cg: -1 cu: CCU st: D/C'd
io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k el: 1 cg: RN cu: CCU ra: 18 ru: ml/hr
pi: 4530101 hi: 19700 t0: [19:00:00 01/04/2015] tf: [18:00:00 02/04/2015] mn: Phenytoin pt: IV Piggyback st: Expired rt: IV fr: STAT dn: 0 dt: 1 di: Doses xu: Enter on Label pi: 4530103 hi: 19700 t0: [22:00:00 01/04/2015] tf: [09:00:00 02/04/2015] mn: Phenytoin pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4530187 hi: 19700 t0: [10:00:00 01/04/2015] tf: [13:00:00 11/04/2015] mn: Lansoprazole Oral Disintegrating Tab pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4530246 hi: 19700 t0: [19:00:00 01/04/2015] tf: [18:00:00 02/04/2015] mn: Lorazepam pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [17:15:00 01/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:15:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:15:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:15:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:15:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 199 n1: 199 u1: mmHg v2: 99 n2: 99 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:15:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg st: NotStopd id: Precautions t0: [17:15:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Respiratory Rate t0: [17:15:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [17:15:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:15:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lidocaine t0: [17:15:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: Service Type t0: [17:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Unarousable st: NotStopd id: Riker-SAS Scale t0: [14:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Unarousable st: NotStopd id: Riker-SAS Scale t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Unarousable st: NotStopd id: Risk for Falls t0: [17:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 192 n1: 192 u1: mmHg v2: 102 n2: 102 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 177 n1: 177 u1: mmHg v2: 91 n2: 91 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Precautions t0: [17:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [18:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [18:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: EEG st: NotStopd id: Respiratory Rate t0: [17:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [17:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [18:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [17:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [17:30:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1.25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [18:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lidocaine t0: [17:30:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip id: Lidocaine t0: [18:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: Riker-SAS Scale t0: [18:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Unarousable st: NotStopd id: Corneal Reflex R/L t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Impaired v2: Impaired st: NotStopd id: Cough Reflex t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Absent st: NotStopd id: Alarms t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Family Communication t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: Follows Commands t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: Gag Reflex t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Absent st: NotStopd id: Imp Skin Cleanse #1 t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wth/Lth #1 t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 2 cm v2: 2 cm st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: Level of Conscious t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Motor Response t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Orientation t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 4 mm v2: 4 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: Side Rails t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Sputum Color/Consist t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Verbal Response t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Braden Activity t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [17:30:00 01/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [18:00:00 01/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [18:00:00 01/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [18:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Service Type t0: [19:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 195 n1: 195 u1: mmHg v2: 96 n2: 96 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [19:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [19:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lidocaine t0: [19:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: Service Type t0: [19:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Arterial BP t0: [19:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [19:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [19:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [19:30:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [19:30:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lidocaine t0: [19:30:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
pi: 4530472 hi: 19700 t0: [21:00:00 01/04/2015] tf: [20:00:00 02/04/2015] mn: Lorazepam pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Unarousable st: NotStopd id: Corneal Reflex R/L t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Impaired v2: Impaired st: NotStopd id: Cough Reflex t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Absent st: NotStopd id: Daily Wake Up t0: [20:00:00 01/04/2015] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Gag Reflex t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Absent st: NotStopd id: HOB t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IV #1 Insert Date t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: 16 gauge st: NotStopd id: Activity t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LU Strength/Movement t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Motor Response t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Oral Cavity t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 4 mm v2: 4 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RU Strength/Movement t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Seizure Activity t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Side Rails t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Support Systems t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Temp. Site t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Source t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [20:00:00 01/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 43.5 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 01/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [20:00:00 01/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 52.5 vu: ml id: Urine Out Foley t0: [20:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 160 vu: ml
id: Nitroglycerine-k t0: [20:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lidocaine t0: [20:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 12.3 n1: 12.3 u1: L/min st: NotStopd id: PEEP Set t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 640 n1: 640 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [21:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [21:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [21:00:00 01/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 01/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [21:00:00 01/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [21:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Nitroglycerine-k t0: [21:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [22:00:00 01/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 01/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [22:00:00 01/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml
id: Nitroglycerine-k t0: [22:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Urine Out Foley t0: [22:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Service Type t0: [23:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [23:00:00 01/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 01/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [23:00:00 01/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [23:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: IV Infusion In Total t0: [23:00:00 01/04/2015] el: 2 cg: RN cu: CCU pv: 37 cv: 467 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 01/04/2015] el: 2 cg: RN cu: CCU pv: 37 cv: 467 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 01/04/2015] el: 2 cg: RN cu: CCU pv: 80 cv: 80 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 01/04/2015] el: 2 cg: RN cu: CCU pv: 80 cv: 700 ac: 24 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 01/04/2015] el: 2 cg: RN cu: CCU pv: -43 cv: -43 ac: 1 ap: none re: 0
id: Eye Care t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Oral Care t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Back Care t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Art.pH t0: [23:50:00 01/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Arterial Base Excess t0: [23:50:00 01/04/2015] el: 0 cg: 1663 cu: CCU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:50:00 01/04/2015] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:50:00 01/04/2015] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:50:00 01/04/2015] el: 0 cg: 1663 cu: CCU v1: 126 n1: 126 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:50:00 01/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: SaO2 t0: [23:50:00 01/04/2015] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 13.6 n1: 13.6 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 635 n1: 635 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Pain Present t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Unarousable st: NotStopd id: Corneal Reflex R/L t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Impaired v2: Impaired st: NotStopd id: Cough Reflex t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Absent st: NotStopd id: Daily Wake Up t0: [00:00:00 02/04/2015] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Gag Reflex t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Absent st: NotStopd id: HOB t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IV #1 Insert Date t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: 16 gauge st: NotStopd id: Activity t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wth/Lth #1 t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 cm v2: 2 cm st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LU Strength/Movement t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Motor Response t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Oral Cavity t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Pain Location t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 4 mm v2: 4 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RU Strength/Movement t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Temp. Site t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 38.7222 n1: 38.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 101.7 n1: 101.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [00:00:00 02/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 13 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [00:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 12 vu: ml id: Urine Out Foley t0: [00:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 60 vu: ml
pi: 4530896 hi: 19700 t0: [01:00:00 02/04/2015] tf: [13:00:00 11/04/2015] mn: Acetaminophen pt: Unit Dose st: Discontinued rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4530897 hi: 19700 t0: [01:00:00 02/04/2015] tf: [13:00:00 11/04/2015] mn: Acetaminophen pt: Unit Dose st: Discontinued rt: NG fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4530979 hi: 19700 t0: [08:00:00 02/04/2015] tf: [10:00:00 06/04/2015] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: PT t0: [23:34:00 01/04/2015] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: INR t0: [23:34:00 01/04/2015] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: PTT t0: [23:34:00 01/04/2015] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [23:34:00 01/04/2015] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [23:34:00 01/04/2015] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: PTT(22-35) t0: [23:34:00 01/04/2015] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd
id: Nitroglycerine-k t0: [00:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [23:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Dilantin t0: [23:34:00 01/04/2015] el: 0 cg: 1663 cu: CCU v1: 18.2 n1: 18.2 rs: Final st: NotStopd
id: Service Type t0: [01:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [01:00:00 02/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [01:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 12 vu: ml id: Urine Out Foley t0: [01:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Nitroglycerine-k t0: [01:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [01:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [01:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [01:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [01:30:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0.916667 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lidocaine t0: [01:30:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0.8 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [02:00:00 02/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 11.5 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [02:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 12 vu: ml id: Urine Out Foley t0: [02:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Nitroglycerine-k t0: [02:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0.916667 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Corneal Reflex R/L t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Impaired v2: Impaired st: NotStopd id: Corneal Reflex R/L t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Impaired v2: Impaired st: NotStopd id: Diet Type t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Follows Commands t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Follows Commands t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GI Intub #1/Site t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Pupil Response R/L t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Response R/L t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: Pupil Size R/L t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: Respiratory Pattern t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Seizure Activity t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Spontaneous Movement t0: [00:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Spontaneous Movement t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Spontaneous Movement t0: [22:00:00 01/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Urine Source t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd
id: Art.pH t0: [02:57:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: Arterial Base Excess t0: [02:57:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [02:57:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [02:57:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [02:57:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 159 n1: 159 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [02:57:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: SaO2 t0: [02:57:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Service Type t0: [03:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [03:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [03:00:00 02/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 11 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [03:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 12 vu: ml id: Urine Out Foley t0: [03:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Nitroglycerine-k t0: [03:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0.916667 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 14.3 n1: 14.3 rs: Final st: NotStopd id: CaO2 t0: [02:57:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 17.3019 n1: 17.3019 u1: ml/dl st: NotStopd id: WBC t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 14.3 n1: 14.3 rs: Final st: NotStopd id: Hematocrit t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 36.8 n1: 36.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 12.8 n1: 12.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 236 n1: 236 rs: Final st: NotStopd id: RBC t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 14.3 n1: 14.3 rs: Final st: NotStopd
id: PT t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 36.2 n1: 36.2 rs: Final st: NotStopd id: INR t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: PTT t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 31.5 n1: 31.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: PT(11-13.5) t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 36.2 n1: 36.2 rs: Final st: NotStopd id: PTT(22-35) t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 31.5 n1: 31.5 rs: Final st: NotStopd
id: BUN t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Calcium t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 198 n1: 198 rs: Final st: NotStopd id: Magnesium t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Phosphorous t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 135 n1: 135 rs: Final st: NotStopd id: BUN (6-20) t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd id: Chloride (100-112) t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 198 n1: 198 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 135 n1: 135 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 83.3333 n1: 83.3333 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 39.356 n1: 39.356 u1: units st: NotStopd id: FiO2 Set t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 11.8 n1: 11.8 u1: L/min st: NotStopd id: PEEP Set t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: RSBI (<200) t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 39.356 n1: 39.356 u1: units st: NotStopd id: Resp Rate (Spont) t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 1400 n1: 1400 st: NotStopd id: Ve High t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spon RR (Mech.) t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 0.559 n1: 0.559 u1: L st: NotStopd id: Sputum Color/Consist t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Pain Present t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Unarousable st: NotStopd id: Corneal Reflex R/L t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Impaired v2: Impaired st: NotStopd id: Cough Reflex t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Absent st: NotStopd id: Daily Wake Up t0: [04:00:00 02/04/2015] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Gag Reflex t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Absent st: NotStopd id: HOB t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: 16 gauge st: NotStopd id: Activity t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Activity Tolerance t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wth/Lth #1 t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 cm v2: 2 cm st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LU Strength/Movement t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Motor Response t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Oral Care t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 153 n1: 153 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Position t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RU Strength/Movement t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Seizure Activity t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Side Rails t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Support Systems t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Temp. Site t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Source t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [04:00:00 02/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 11 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [04:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 12 vu: ml id: Urine Out Foley t0: [04:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Nitroglycerine-k t0: [04:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0.916667 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: CPK/MB t0: [02:43:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 13 n1: 13 rs: Final st: NotStopd
pi: 4531392 hi: 19700 t0: [06:00:00 02/04/2015] tf: [05:00:00 03/04/2015] mn: Magnesium Sulfate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [01:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Arterial BP t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 163 n1: 163 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Position t0: [04:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: calprevflg t0: [05:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [05:00:00 02/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 11 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [05:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 12 vu: ml id: Urine Out Foley t0: [05:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Nitroglycerine-k t0: [05:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 162 n1: 162 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [06:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: FiO2 Set t0: [05:45:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:45:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:45:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [05:45:00 02/04/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [05:45:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [05:45:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:45:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 11.5 n1: 11.5 u1: L/min st: NotStopd id: PEEP Set t0: [05:45:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:45:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [05:45:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [05:45:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Ve High t0: [05:45:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [05:45:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [05:45:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 520 n1: 520 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:45:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd
id: Service Type t0: [06:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Arterial BP t0: [06:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 157 n1: 157 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [06:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [06:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [06:30:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [06:30:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1.08333 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lidocaine t0: [06:30:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0.8 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: Art.pH t0: [06:38:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.51 n1: 7.51 rs: Final st: NotStopd id: Arterial Base Excess t0: [06:38:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:38:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:38:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:38:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:38:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.51 n1: 7.51 rs: Final st: NotStopd
id: ETT Mark/Location t0: [00:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: ETT Mark/Location t0: [03:40:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: ETT Mark/Location t0: [20:15:00 01/04/2015] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd
id: Corneal Reflex R/L t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Impaired v2: Impaired st: NotStopd id: Diet Type t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Follows Commands t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GI Intub #1/Site t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Pupil Response R/L t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: Respiratory Pattern t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Seizure Activity t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Spontaneous Movement t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Urine Source t0: [06:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd
id: Service Type t0: [07:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 169 n1: 169 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [07:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [07:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1.08333 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lidocaine t0: [00:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip id: Lidocaine t0: [01:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip id: Lidocaine t0: [02:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip id: Lidocaine t0: [03:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip id: Lidocaine t0: [04:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip id: Lidocaine t0: [05:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip id: Lidocaine t0: [06:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip id: Lidocaine t0: [07:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip id: Lidocaine t0: [21:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip id: Lidocaine t0: [22:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip id: Lidocaine t0: [23:00:00 01/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: Service Type t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Unarousable st: NotStopd id: Risk for Falls t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 167 n1: 167 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 38.4444 n1: 38.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 101.2 n1: 101.2 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [06:00:00 02/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 12 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [07:00:00 02/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [08:00:00 02/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 13 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [06:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [07:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [08:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [08:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 130 vu: ml
id: Nitroglycerine-k t0: [08:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1.08333 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lidocaine t0: [08:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 02/04/2015] el: 2 cg: RN cu: CCU pv: 200 cv: 200 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 02/04/2015] el: 2 cg: RN cu: CCU pv: 200 cv: 1260 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 02/04/2015] el: 2 cg: RN cu: CCU pv: 200 cv: 1260 ac: 24 ap: none re: 0
id: Corneal Reflex R/L t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Impaired v2: Impaired st: NotStopd id: Eye Opening t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: LL Strength/Movement t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: Level of Conscious t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Motor Response t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Orientation t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Pupil Response R/L t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: Spontaneous Movement t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Verbal Response t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
pi: 4531588 hi: 19700 t0: [10:00:00 02/04/2015] tf: [13:00:00 11/04/2015] mn: Atorvastatin pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4531589 hi: 19700 t0: [10:00:00 02/04/2015] tf: [08:00:00 02/04/2015] mn: Lisinopril pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4531590 hi: 19700 t0: [09:00:00 02/04/2015] tf: [10:00:00 02/04/2015] mn: CeftriaXONE pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q24H ds: 9 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4531665 hi: 19700 t0: [10:00:00 02/04/2015] tf: [17:00:00 06/04/2015] mn: Captopril pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: QID ds: 10, 14, 18, 22 dn: 4 di: Ongoing xv: 36 xu: Hours
id: ETT Mark/Location t0: [08:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 02/04/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 12.8 n1: 12.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [08:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 1400 n1: 1400 st: NotStopd id: Ve High t0: [08:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 542 n1: 542 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Dilantin t0: [05:50:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 19.2 n1: 19.2 rs: Final st: NotStopd
id: D5W 500.0ml + 2mgmin Lidocaine t0: [09:00:00 02/04/2015] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
pi: 4531824 hi: 19700 t0: [16:00:00 02/04/2015] tf: [17:00:00 03/04/2015] mn: Phenytoin pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [09:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 154 n1: 154 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [09:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [09:00:00 02/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 13 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Nitroglycerine-k t0: [09:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1.08333 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [09:14:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: Arterial Base Excess t0: [09:14:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [09:14:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [09:14:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [09:14:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 72 n1: 72 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [09:14:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd
id: Lactic Acid t0: [09:14:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [09:14:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd
id: FiO2 Set t0: [09:30:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd
id: BSA t0: [09:51:00 02/04/2015] el: 1033 cg: -1 cu: CCU v1: 1.99136 n1: 1.99136 u1: m2 id: Admit Wt t0: [09:51:00 02/04/2015] el: 1032 cg: -1 cu: CCU v1: 80 n1: 80 u1: kg id: Allergy 1 t0: [09:51:00 02/04/2015] el: 1020 cg: -1 cu: CCU v1: Codeine id: Diagnosis/op t0: [09:51:00 02/04/2015] el: 1023 cg: -1 cu: CCU v1: CARDIAC ARREST id: Service t0: [09:51:00 02/04/2015] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [09:51:00 02/04/2015] el: 1034 cg: -1 cu: CCU v1: 69 n1: 69 u1: inches id: Readmission t0: [09:51:00 02/04/2015] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [09:51:00 02/04/2015] el: 1006 cg: -1 cu: CCU v1: M id: Religion t0: [09:51:00 02/04/2015] el: 1000 cg: -1 cu: CCU v1: OTR id: Allergy 2 t0: [09:51:00 02/04/2015] el: 1021 cg: -1 cu: CCU id: Ext t0: [09:51:00 02/04/2015] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [09:51:00 02/04/2015] el: 1022 cg: -1 cu: CCU
pi: 4531934 hi: 19700 t0: [08:00:00 02/04/2015] tf: [17:00:00 08/04/2015] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 12H ds: 8, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4531935 hi: 19700 t0: [09:00:00 02/04/2015] tf: [10:00:00 02/04/2015] mn: CeftriaXONE pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q24H ds: 9 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4532014 hi: 19700 t0: [11:00:00 02/04/2015] tf: [18:00:00 10/04/2015] mn: Acyclovir pt: IV Piggyback st: Discontinued rt: IV fr: Q8H ds: 0, 8, 16 dn: 3 di: Ongoing xv: 30 xu: Hours pi: 4532016 hi: 19700 t0: [11:00:00 02/04/2015] tf: [14:00:00 03/04/2015] mn: CeftriaXONE pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 11, 23 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 155 n1: 155 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 150 n1: 150 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [11:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [09:00:00 02/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 150 vu: ml id: D5W 100.0ml t0: [11:00:00 02/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [10:00:00 02/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [11:00:00 02/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 13 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Nitroglycerine-k t0: [10:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1.08333 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [11:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1.08333 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [12:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 02/04/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 10.1 n1: 10.1 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [12:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 1400 n1: 1400 st: NotStopd id: Ve High t0: [12:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 526 n1: 526 u1: ml/B st: NotStopd id: Ventilator Type t0: [12:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Unarousable st: NotStopd id: Risk for Falls t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: calprevflg t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [12:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1.08333 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Imp Skin Cleanse #1 t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wth/Lth #1 t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 cm v2: 2 cm st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Restraint Location t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Braden Activity t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: Art.pH t0: [12:15:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.48 n1: 7.48 rs: Final st: NotStopd id: CaO2 t0: [12:15:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 17.0125 n1: 17.0125 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [12:15:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:15:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:15:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:15:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 121 n1: 121 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:15:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.48 n1: 7.48 rs: Final st: NotStopd id: SaO2 t0: [12:15:00 02/04/2015] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Temp. Site t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd
id: D5W 100.0ml t0: [12:00:00 02/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [12:00:00 02/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 13 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: IV Infusion In Total t0: [23:00:00 02/04/2015] el: 2 cg: RN cu: CCU pv: 10 cv: 1589 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 02/04/2015] el: 2 cg: RN cu: CCU pv: 10 cv: 1589 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 02/04/2015] el: 2 cg: RN cu: CCU pv: -190 cv: 329 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 02/04/2015] el: 2 cg: RN cu: CCU pv: -190 cv: -204 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 02/04/2015] el: 2 cg: RN cu: CCU pv: -190 cv: -190 ac: 1 ap: none re: 0
pi: 4532615 hi: 19700 t0: [14:00:00 02/04/2015] tf: [13:00:00 03/04/2015] mn: PHENObarbital pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4532618 hi: 19700 t0: [22:00:00 02/04/2015] tf: [17:00:00 08/04/2015] mn: PHENObarbital pt: Unit Dose st: Discontinued rt: IV fr: Q24H ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [13:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 164 n1: 164 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [13:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 38.7222 n1: 38.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 101.7 n1: 101.7 u1: Deg. F st: NotStopd id: calprevflg t0: [13:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [13:00:00 02/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 13 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [13:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: Nitroglycerine-k t0: [13:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1.08333 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Unarousable st: NotStopd id: Riker-SAS Scale t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Unarousable st: NotStopd id: Risk for Falls t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 178 n1: 178 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [14:00:00 02/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 13 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Nitroglycerine-k t0: [14:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1.08333 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Corneal Reflex R/L t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Impaired v2: Impaired st: NotStopd id: GI Prophylaxis t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Abdominal Assessment t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LL Strength/Movement t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: LLL Lung Sounds t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Motor Response t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Oral Cavity t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Pupil Response R/L t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [10:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [08:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: GI Prophylaxis t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Abdominal Assessment t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Oral Cavity t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: RLL Lung Sounds t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Color/Appear t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Bowel Sounds t0: [12:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: ETT Mark/Location t0: [16:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 02/04/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 16.5 n1: 16.5 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [16:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 1400 n1: 1400 st: NotStopd id: Ve High t0: [16:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 572 n1: 572 u1: ml/B st: NotStopd id: Ventilator Type t0: [16:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [15:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Unarousable st: NotStopd id: Risk for Falls t0: [15:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [15:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 178 n1: 178 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 174 n1: 174 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temp. Site t0: [16:05:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 39.1111 n1: 39.1111 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [16:05:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 38.6667 n1: 38.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 102.4 n1: 102.4 u1: Deg. F st: NotStopd id: Temperature F t0: [16:05:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 101.6 n1: 101.6 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [16:00:00 02/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [15:00:00 02/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [16:00:00 02/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 13 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 310 vu: ml
id: Nitroglycerine-k t0: [15:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1.08333 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [16:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1.08333 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4533437 hi: 19700 t0: [18:00:00 02/04/2015] tf: [14:00:00 03/04/2015] mn: Azithromycin pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4533438 hi: 19700 t0: [10:00:00 03/04/2015] tf: [14:00:00 03/04/2015] mn: Azithromycin pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 18 dn: 1 di: Ongoing xu: Enter on Label
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [17:00:00 02/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [18:00:00 02/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 13 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Service Type t0: [17:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [19:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [19:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Unarousable st: NotStopd id: Risk for Falls t0: [17:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [19:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [19:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rate t0: [19:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [18:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [19:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [17:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 162 n1: 162 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [18:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [19:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [18:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [19:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [19:00:00 02/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [19:00:00 02/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [19:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Nitroglycerine-k t0: [17:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1.08333 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [18:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [19:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [20:00:00 02/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Nitroglycerine-k t0: [20:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [20:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 02/04/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [20:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thin st: NotStopd id: Sputum Source/Amt t0: [20:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: 560 n1: 560 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 02/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [22:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [22:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 38.2222 n1: 38.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 100.8 n1: 100.8 u1: Deg. F st: NotStopd id: calprevflg t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [22:00:00 02/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml
id: Nitroglycerine-k t0: [21:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [22:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [23:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [23:00:00 02/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 02/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Nitroglycerine-k t0: [23:00:00 02/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: HOB t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Insert Date t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #2 Site/Size t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: 16 gauge st: NotStopd id: Activity t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#1 Cap Change t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#1 Tubing Change t0: [14:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Therapeutic Bed t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Back Care t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: INV Line#1 Type/Site t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV Line#1SiteAppear t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #2 Site/Size t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: 16 gauge st: NotStopd id: IV Site Appear #1 t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 Dsg Change t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#1 Cap Change t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#1 Tubing Change t0: [21:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd
id: ETT Mark/Location t0: [00:30:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:30:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:30:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:30:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [00:30:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:30:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:30:00 03/04/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [00:30:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [00:30:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [00:30:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:30:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 10.4 n1: 10.4 u1: L/min st: NotStopd id: PEEP Set t0: [00:30:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:30:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:30:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:30:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Ve High t0: [00:30:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:30:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:30:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:30:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thin st: NotStopd id: Sputum Source/Amt t0: [00:30:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [00:30:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:30:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:30:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough Reflex t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Cough Reflex t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Learner t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: GI#1 Intub Site t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Intub Site t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Eye Opening t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Eye Opening t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Follows Commands t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GCS Total t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Gag Reflex t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Gag Reflex t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Heart Rate t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV Line#1SiteAppear t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Abdominal Assessment t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #2 Site/Size t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: 16 gauge st: NotStopd id: IV Site Appear #1 t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Imp Skin Cleanse #1 t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wth/Lth #1 t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 cm v2: 2 cm st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LL Strength/Movement t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LLL Lung Sounds t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Level of Conscious t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Motor Response t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Motor Response t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Orientation t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Response R/L t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: Pupil Size R/L t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RL Strength/Movement t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Nail Bed v2: Withdraws st: NotStopd id: Responds to Stimuli t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Seizure Activity t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [02:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Spontaneous Movement t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Support Systems t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#1 Tubing Change t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Urine Color/Appear t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: calprevflg t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Bowel Sounds t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 02/04/2015] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: Nitroglycerine-k t0: [00:00:00 03/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [01:00:00 03/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [02:00:00 03/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [02:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [02:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 38.6667 n1: 38.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 101.6 n1: 101.6 u1: Deg. F st: NotStopd
id: D5W 100.0ml t0: [00:00:00 03/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W 100.0ml t0: [02:00:00 03/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 150 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [02:00:00 03/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 03/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [02:00:00 03/04/2015] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: RSBI (<100) t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 59.9078 n1: 59.9078 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 59.9078 n1: 59.9078 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 1400 n1: 1400 st: NotStopd id: Ve High t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 0.434 n1: 0.434 u1: L st: NotStopd id: Sputum Color/Consist t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 624 n1: 624 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [03:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [03:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [05:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [03:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [05:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [05:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [05:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [05:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [05:00:00 03/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 03/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [05:00:00 03/04/2015] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Nitroglycerine-k t0: [03:00:00 03/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [04:00:00 03/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [05:00:00 03/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough Reflex t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Risk for Falls t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Gag Reflex t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: HOB t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: Level of Conscious t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Motor Response t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 160 n1: 160 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Position t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: Respiratory Pattern t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Nail Bed v2: Withdraws st: NotStopd id: SpO2 t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Therapeutic Bed t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [01:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Source t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: calprevflg t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [06:00:00 03/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd
id: WBC (4-11,000) t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 8.2 n1: 8.2 rs: Final st: NotStopd id: WBC t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 8.2 n1: 8.2 rs: Final st: NotStopd id: Hematocrit t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 32.2 n1: 32.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 11.3 n1: 11.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 121 n1: 121 rs: Final st: NotStopd id: RBC t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 3.59 n1: 3.59 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 8.2 n1: 8.2 rs: Final st: NotStopd
pi: 4535060 hi: 19700 t0: [07:00:00 03/04/2015] tf: [06:00:00 04/04/2015] mn: Potassium Phosphate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4535062 hi: 19700 t0: [07:00:00 03/04/2015] tf: [06:00:00 04/04/2015] mn: Neutra-Phos pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: BUN t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 13 n1: 13 rs: Final st: NotStopd id: Calcium t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 129 n1: 129 rs: Final st: NotStopd id: Magnesium t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 134 n1: 134 rs: Final st: NotStopd id: BUN (6-20) t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 13 n1: 13 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 129 n1: 129 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 134 n1: 134 rs: Final st: NotStopd
id: Procedures t0: [03:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Blood Cultured st: NotStopd id: Procedures t0: [06:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Pan Cultured st: NotStopd
id: Dilantin t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 16.4 n1: 16.4 rs: Final st: NotStopd id: Phenobarbital t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 25.7 n1: 25.7 rs: Final st: NotStopd
id: PT t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 68.5 n1: 68.5 rs: Final st: NotStopd id: PTT t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 48.5 n1: 48.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 68.5 n1: 68.5 rs: Final st: NotStopd id: PTT(22-35) t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 48.5 n1: 48.5 rs: Final st: NotStopd
pi: 4535119 hi: 19700 t0: [08:00:00 03/04/2015] tf: [07:00:00 04/04/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4535120 hi: 19700 t0: [08:00:00 03/04/2015] tf: [07:00:00 04/04/2015] mn: Phenytoin pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [07:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [07:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [07:00:00 03/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [08:00:00 03/04/2015] el: 1 ai: 189 cg: -1 cu: CCU vo: 0 st: D/C'd
id: ETT Mark/Location t0: [08:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 03/04/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 11.9 n1: 11.9 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [08:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 1400 n1: 1400 st: NotStopd id: Ve High t0: [08:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 564 n1: 564 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [09:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 163 n1: 163 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 148 n1: 148 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [09:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:00:00 03/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 150 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [07:00:00 03/04/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 03/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 03/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: GT Flush t0: [08:00:00 03/04/2015] el: 1 ai: 198 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [09:00:00 03/04/2015] el: 1 cg: RN cu: CCU vo: 250 vu: ml
id: Nitroglycerine-k t0: [08:00:00 03/04/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 03/04/2015] el: 2 cg: RN cu: CCU cv: 60 ac: 24 ap: none re: 0
id: Cough Reflex t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Gag Reflex t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: HOB t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: 16 gauge st: NotStopd id: Activity t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wth/Lth #1 t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 cm v2: 2 cm st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: LU Strength/Movement t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Motor Response t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Pupil Response R/L t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: RU Strength/Movement t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: Respiratory Pattern t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Nail Bed v2: Withdraws st: NotStopd id: Side Rails t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Care t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Support Systems t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Therapeutic Bed t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Bowel Sounds t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: Albumin t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: ALT t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 57 n1: 57 rs: Final st: NotStopd id: Albumin (>3.2) t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd
id: Service Type t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4535534 hi: 19700 t0: [11:00:00 03/04/2015] tf: [10:00:00 04/04/2015] mn: Phytonadione pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: ETT Mark/Location t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 14.8 n1: 14.8 u1: L/min st: NotStopd id: PEEP Set t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Tank A psi. t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 1400 n1: 1400 st: NotStopd id: Ve High t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: Tan v2: Plug st: NotStopd id: Sputum Source/Amt t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 613 n1: 613 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:03:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [11:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [11:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 183 n1: 183 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [11:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 128 n1: 128 rs: Manual st: NotStopd
id: Service Type t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 154 n1: 154 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: calprevflg t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [12:00:00 03/04/2015] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Total Hourly Output t0: [23:00:00 03/04/2015] el: 2 cg: RN cu: CCU pv: 200 cv: 200 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 03/04/2015] el: 2 cg: RN cu: CCU pv: 200 cv: 2140 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 03/04/2015] el: 2 cg: RN cu: CCU pv: 200 cv: 2140 ac: 24 ap: none re: 0
id: D5W 100.0ml t0: [11:00:00 03/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W 100.0ml t0: [12:00:00 03/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 03/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml
id: IV Infusion In Total t0: [23:00:00 03/04/2015] el: 2 cg: RN cu: CCU pv: 10 cv: 1540 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 03/04/2015] el: 2 cg: RN cu: CCU pv: 10 cv: 1600 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 03/04/2015] el: 2 cg: RN cu: CCU pv: -190 cv: -540 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 03/04/2015] el: 2 cg: RN cu: CCU pv: -190 cv: -744 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 03/04/2015] el: 2 cg: RN cu: CCU pv: -190 cv: -190 ac: 1 ap: none re: 0
id: Service Type t0: [13:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 155 n1: 155 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [13:00:00 03/04/2015] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Fibrinogen t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 698 n1: 698 rs: Final st: NotStopd id: Fibrinogen (150-400) t0: [05:21:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 698 n1: 698 rs: Final st: NotStopd
pi: 4536445 hi: 19700 t0: [15:00:00 03/04/2015] tf: [14:00:00 04/04/2015] pt: IV Piggyback st: Expired rt: PB fr: 1X dn: 0 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 168 n1: 168 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Art.pH t0: [14:23:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.51 n1: 7.51 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:23:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:23:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:23:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:23:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 68 n1: 68 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:23:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.51 n1: 7.51 rs: Final st: NotStopd
id: CaO2 t0: [14:23:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 14.4443 n1: 14.4443 u1: ml/dl st: NotStopd id: Lactic Acid t0: [14:23:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [14:23:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: SaO2 t0: [14:23:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 94 n1: 94 u1: % rs: Final st: NotStopd
id: Cough Reflex t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Diet Type t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Gag Reflex t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Abdominal Assessment t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LL Strength/Movement t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: LU Strength/Movement t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Motor Response t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pupil Response R/L t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: RU Strength/Movement t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: Respiratory Pattern t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Urine Color/Appear t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: Compliance (40-60ml) t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 83.3333 n1: 83.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: L/min st: NotStopd id: PEEP Set t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 1400 n1: 1400 st: NotStopd id: Ve High t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 490 n1: 490 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [15:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [15:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 163 n1: 163 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: calprevflg t0: [15:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 03/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [15:00:00 03/04/2015] el: 1 cg: RN cu: CCU vo: 160 vu: ml
id: HOB t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Position t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [10:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [12:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [14:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd
pi: 4536888 hi: 19700 t0: [17:00:00 03/04/2015] tf: [19:00:00 04/04/2015] mn: Piperacillin-Tazobactam Na pt: IV Piggyback st: Discontinued rt: IV fr: Q8H ds: 17, 1, 9 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [16:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [16:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 170 n1: 170 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd id: calprevflg t0: [16:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 03/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [16:00:00 03/04/2015] el: 1 cg: RN cu: CCU vo: 130 vu: ml
id: BSA t0: [16:22:00 03/04/2015] el: 1033 cg: -1 cu: CCU v1: 1.99136 n1: 1.99136 u1: m2 id: Admit Wt t0: [16:22:00 03/04/2015] el: 1032 cg: -1 cu: CCU v1: 80 n1: 80 u1: kg id: Allergy 1 t0: [16:22:00 03/04/2015] el: 1020 cg: -1 cu: CCU v1: Codeine id: Diagnosis/op t0: [16:22:00 03/04/2015] el: 1023 cg: -1 cu: CCU v1: CARDIAC ARREST id: Service t0: [16:22:00 03/04/2015] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [16:22:00 03/04/2015] el: 1034 cg: -1 cu: CCU v1: 69 n1: 69 u1: inches id: Readmission t0: [16:22:00 03/04/2015] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [16:22:00 03/04/2015] el: 1006 cg: -1 cu: CCU v1: M id: Religion t0: [16:22:00 03/04/2015] el: 1000 cg: -1 cu: CCU v1: OTR id: Allergy 2 t0: [16:22:00 03/04/2015] el: 1021 cg: -1 cu: CCU id: Ext t0: [16:22:00 03/04/2015] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [16:22:00 03/04/2015] el: 1022 cg: -1 cu: CCU
id: Art.pH t0: [16:23:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:23:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:23:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:23:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:23:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 89 n1: 89 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:23:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd
id: CaO2 t0: [16:23:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 14.8122 n1: 14.8122 u1: ml/dl st: NotStopd id: SaO2 t0: [16:23:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
pi: 4537045 hi: 19700 t0: [20:00:00 03/04/2015] tf: [11:00:00 05/04/2015] mn: Phenytoin pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [17:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 121 n1: 121 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [17:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 173 n1: 173 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 170 n1: 170 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [18:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 200 n2: 200 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: % st: NotStopd id: SpO2 t0: [18:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [16:00:00 03/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: D5W 100.0ml t0: [18:00:00 03/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 03/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [18:00:00 03/04/2015] el: 1 cg: RN cu: CCU vo: 260 vu: ml
id: Service Type t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 169 n1: 169 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Temp. Site t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 38.2778 n1: 38.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 100.9 n1: 100.9 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Corneal Reflex R/L t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Impaired v2: Impaired st: NotStopd id: Cough Reflex t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Absent st: NotStopd id: Daily Wake Up t0: [20:00:00 03/04/2015] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Diet Type t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Gag Reflex t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Absent st: NotStopd id: Abdominal Assessment t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: Level of Conscious t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Motor Response t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Pupil Response R/L t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: Respiratory Pattern t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Seizure Activity t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Support Systems t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Urine Color/Appear t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Bowel Sounds t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 03/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [20:00:00 03/04/2015] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: HOB t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: 16 gauge st: NotStopd id: Activity t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Position t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#1 Cap Change t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Therapeutic Bed t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd
id: D5W 100.0ml t0: [20:00:00 03/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml
id: Plateau-Off t0: [21:00:00 03/04/2015] el: 0 cg: -1 cu: CCU st: D/C'd
id: Compliance (40-60ml) t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 41.6667 n1: 41.6667 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: L/min st: NotStopd id: PEEP Set t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 1400 n1: 1400 st: NotStopd id: Ve High t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [21:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [22:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [22:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [21:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [22:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [21:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 182 n1: 182 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 171 n1: 171 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 03/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 03/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 03/04/2015] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [22:00:00 03/04/2015] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Oral Care t0: [22:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [22:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd
id: Art.pH t0: [22:29:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.53 n1: 7.53 rs: Final st: NotStopd id: CaO2 t0: [22:29:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 15.2267 n1: 15.2267 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [22:29:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:29:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:29:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:29:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 125 n1: 125 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:29:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.53 n1: 7.53 rs: Final st: NotStopd id: SaO2 t0: [22:29:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Magnesium t0: [22:16:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous t0: [22:16:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [22:16:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [22:16:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [22:16:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [22:16:00 03/04/2015] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 rs: Final st: NotStopd
pi: 4537977 hi: 19700 t0: [00:00:00 04/04/2015] tf: [23:00:00 04/04/2015] mn: Potassium Phosphate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Compliance (40-60ml) t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 45.4545 n1: 45.4545 u1: ml/cmH st: NotStopd id: Risk for Falls t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: ETT Mark/Location t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 25cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: High Insp. Pressure t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 12.2 n1: 12.2 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 st: NotStopd id: Arterial BP t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 176 n1: 176 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Precautions t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 495 n1: 495 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: RAMP st: NotStopd id: calprevflg t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 03/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 03/04/2015] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Service Type t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough Reflex t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Absent st: NotStopd id: Risk for Falls t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Gag Reflex t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Absent st: NotStopd id: HOB t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: 16 gauge st: NotStopd id: Activity t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: Level of Conscious t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Motor Response t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Orientation t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 192 n1: 192 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg st: NotStopd id: Assistance Device t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: Respiratory Pattern t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Spontaneous Movement t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Support Systems t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Therapeutic Bed t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: D5W 100.0ml t0: [00:00:00 04/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 150 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 04/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [00:00:00 04/04/2015] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Sputum Color/Consist t0: [00:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd
id: Sputum Source/Amt t0: [00:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd
id: Inspired Gas Temp t0: [00:00:00 04/04/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd
id: FiO2 Set t0: [00:45:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd
id: Fingerstick Glucose t0: [01:00:00 04/04/2015] el: 0 cg: CoWker cu: CCU v1: 164 n1: 164 rs: Manual st: NotStopd
id: Service Type t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 168 n1: 168 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 38.8889 n1: 38.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: Deg. F st: NotStopd id: calprevflg t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: INV Line#1 Type/Site t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Type/Site t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV Line#1InsertDate t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Insert Date t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Insert Date t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 16 gauge st: NotStopd id: IV #1 Site/Size t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 16 gauge st: NotStopd id: IV #2 D/C Date t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: IV #2 Insert Date t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #2 Insert Date t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #2 Site/Size t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV #2 Site/Size t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #3 Insert Date t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: 16 gauge st: NotStopd id: IV #3 Site/Size t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: 16 gauge st: NotStopd id: IV Site Appear #2 t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Bleeding st: NotStopd id: IV Site Appear #2 t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Bleeding st: NotStopd id: IV Site Appear #3 t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: IV Site Appear #3 t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: INV#1 Dsg Change t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#1 Dsg Change t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#1 Cap Change t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#1 Cap Change t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#1 Tubing Change t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#1 Tubing Change t0: [23:00:00 03/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd
id: IV #2 Reason DC'D t0: [03:00:00 04/04/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 D/C Date t0: [03:00:00 04/04/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Insert Date t0: [03:00:00 04/04/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Site/Size t0: [03:00:00 04/04/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #3 Insert Date t0: [03:00:00 04/04/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #3 Site/Size t0: [03:00:00 04/04/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #2 t0: [03:00:00 04/04/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #3 t0: [03:00:00 04/04/2015] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Corneal Reflex R/L t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Impaired v2: Impaired st: NotStopd id: Corneal Reflex R/L t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Impaired v2: Impaired st: NotStopd id: Cough Reflex t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Risk for Falls t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Given st: NotStopd id: Education Learner t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Care t0: [02:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Family Communication t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Follows Commands t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Gag Reflex t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: HOB t0: [02:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 16 gauge st: NotStopd id: IV #4 Insert Date t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: IV #4 Site/Size t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: Activity t0: [02:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #4 t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [02:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Activity Tolerance t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: ImpSkin Character #1 t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wth/Lth #1 t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 cm v2: 2 cm st: NotStopd id: Impaired Skin Site#1 t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Impaired Skin Site#1 t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: LLL Lung Sounds t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: LU Strength/Movement t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Motor Response t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [02:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 186 n1: 186 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 153 n1: 153 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Assistance Device t0: [02:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Pan Cultured st: NotStopd id: Procedures t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: MRI st: NotStopd id: Pupil Response R/L t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: RLL Lung Sounds t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: RU Strength/Movement t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Seizure Activity t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Side Rails t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Care t0: [02:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Integrity t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Support Systems t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Therapeutic Bed t0: [02:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [02:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [02:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Bowel Sounds t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [01:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Temp. Site t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 38.3889 n1: 38.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 101.1 n1: 101.1 u1: Deg. F st: NotStopd
id: Oral Care t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 04/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [01:00:00 04/04/2015] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [02:00:00 04/04/2015] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [03:00:00 04/04/2015] el: 1 cg: RN cu: CCU vo: 90 vu: ml
id: Compliance (40-60ml) t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 41.6667 n1: 41.6667 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 42 n1: 42 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 1:5.3 st: NotStopd id: I:E Ratio t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 1:5.3 st: NotStopd id: I:E Ratio t0: [21:00:00 03/04/2015] el: 0 cg: RRT cu: CCU v1: 1:5.3 st: NotStopd id: Airway Size t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 10.5 n1: 10.5 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: RSBI (<200) t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 42 n1: 42 u1: units st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 2800 n1: 2800 st: NotStopd id: Ve High t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: L st: NotStopd id: Sputum Color/Consist t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 535 n1: 535 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Type t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: PressureReduceDevice t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd
id: Pain Present t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [05:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Unarousable st: NotStopd id: Riker-SAS Scale t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Unarousable st: NotStopd id: Daily Wake Up t0: [06:00:00 04/04/2015] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [05:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Education Topic #1 t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: HOB t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Arterial BP t0: [05:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 142 n1: 142 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Pain Location t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [05:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [00:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [02:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [04:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: PressureReduceDevice t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Side Rails t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: SpO2 t0: [05:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: calprevflg t0: [05:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [06:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 04/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 04/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 04/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 04/04/2015] el: 1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [05:00:00 04/04/2015] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [06:00:00 04/04/2015] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Art.pH t0: [06:12:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: Arterial Base Excess t0: [06:12:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:12:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:12:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:12:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:12:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: SaO2 t0: [06:12:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: D5W 100.0ml t0: [04:00:00 04/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml
id: WBC (4-11,000) t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 8.7 n1: 8.7 rs: Final st: NotStopd id: CaO2 t0: [06:12:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 14.3632 n1: 14.3632 u1: ml/dl st: NotStopd id: WBC t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 8.7 n1: 8.7 rs: Final st: NotStopd id: Hematocrit t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 30.8 n1: 30.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 10.6 n1: 10.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 133 n1: 133 rs: Final st: NotStopd id: RBC t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 3.41 n1: 3.41 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 8.7 n1: 8.7 rs: Final st: NotStopd
pi: 4538708 hi: 19700 t0: [08:00:00 04/04/2015] tf: [08:00:00 04/04/2015] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4538709 hi: 19700 t0: [08:00:00 04/04/2015] tf: [08:00:00 04/04/2015] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4538717 hi: 19700 t0: [08:00:00 04/04/2015] tf: [07:00:00 05/04/2015] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4538718 hi: 19700 t0: [08:00:00 04/04/2015] tf: [07:00:00 05/04/2015] mn: Calcium Gluconate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: PT t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 19.5 n1: 19.5 rs: Final st: NotStopd id: INR t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: PTT t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 28.5 n1: 28.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 19.5 n1: 19.5 rs: Final st: NotStopd id: PTT(22-35) t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 28.5 n1: 28.5 rs: Final st: NotStopd
id: Fibrinogen t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 841 n1: 841 rs: Final st: NotStopd id: Fibrinogen (150-400) t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 841 n1: 841 rs: Final st: NotStopd
id: Service Type t0: [07:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [07:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [07:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 04/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: BUN t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: Albumin t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Calcium t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 125 n1: 125 rs: Final st: NotStopd id: Magnesium t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd id: ALT t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 39 n1: 39 rs: Final st: NotStopd id: Albumin (>3.2) t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: BUN (6-20) t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Dilantin t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 13.8 n1: 13.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 125 n1: 125 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phenobarbital t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 24.5 n1: 24.5 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:59:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 83.3333 n1: 83.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 12.5 n1: 12.5 u1: L/min st: NotStopd id: PEEP Set t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 2800 n1: 2800 st: NotStopd id: Tank B psi. t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 575 n1: 575 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:08:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Pain Present t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Unarousable st: NotStopd id: Corneal Reflex R/L t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Impaired v2: Impaired st: NotStopd id: Cough Reflex t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Daily Wake Up t0: [08:00:00 04/04/2015] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Care t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Gag Reflex t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: HOB t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 16 gauge st: NotStopd id: IV #4 Insert Date t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: IV #4 Site/Size t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wth/Lth #1 t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 cm v2: 2 cm st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: LU Strength/Movement t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Motor Response t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: PressureReduceDevice t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: RU Strength/Movement t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Support Systems t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Temp. Site t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Bowel Sounds t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 04/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [08:00:00 04/04/2015] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: D5W 100.0ml t0: [08:00:00 04/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 150 vu: ml
id: Service Type t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 158 n1: 158 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 04/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 04/04/2015] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Family Communication t0: [08:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd
id: Service Type t0: [10:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [10:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [10:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 166 n1: 166 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [10:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [09:00:00 04/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 500 vu: ml id: D5W 100.0ml t0: [10:00:00 04/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 04/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 04/04/2015] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: HOB t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Assistance Device t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: Skin Care t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Back Care t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Service Type t0: [11:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [11:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [11:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 04/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 04/04/2015] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Compliance (40-60ml) t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 31.25 n1: 31.25 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 12.4 n1: 12.4 u1: L/min st: NotStopd id: PEEP Set t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 2800 n1: 2800 st: NotStopd id: Tank B psi. t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:16:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Pain Present t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [11:30:00 04/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:30:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Unarousable st: NotStopd id: Corneal Reflex R/L t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Impaired v2: Impaired st: NotStopd id: Cough Reflex t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Daily Wake Up t0: [12:00:00 04/04/2015] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [11:30:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [11:30:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:30:00 04/04/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Care t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Family Communication t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Follows Commands t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Gag Reflex t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: HOB t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:30:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:30:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 16 gauge st: NotStopd id: IV #4 Insert Date t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: IV #4 Site/Size t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Imp Skin Cleanse #1 t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wth/Lth #1 t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 cm v2: 2 cm st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: LU Strength/Movement t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Motor Response t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 171 n1: 171 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [11:30:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Position t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [11:30:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: PressureReduceDevice t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:30:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:30:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:30:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:30:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: RU Strength/Movement t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:30:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [11:30:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Support Systems t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [09:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [11:30:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Bowel Sounds t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 04/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 04/04/2015] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: Art.pH t0: [11:55:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.51 n1: 7.51 rs: Final st: NotStopd id: CaO2 t0: [11:55:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 14.4562 n1: 14.4562 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [11:55:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:55:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:55:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:55:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 173 n1: 173 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:55:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.51 n1: 7.51 rs: Final st: NotStopd id: SaO2 t0: [11:55:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Service Type t0: [13:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [13:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [13:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP Mean t0: [13:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 04/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: GT Flush t0: [08:00:00 04/04/2015] el: 1 ai: 198 cg: RN cu: CCU vo: 100 vu: ml id: GT Flush t0: [12:00:00 04/04/2015] el: 1 ai: 198 cg: RN cu: CCU vo: 50 vu: ml id: GT Flush t0: [13:00:00 04/04/2015] el: 1 ai: 198 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [13:00:00 04/04/2015] el: 1 cg: RN cu: CCU vo: 340 vu: ml
id: Creatinine t0: [11:46:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Magnesium t0: [11:46:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Potassium t0: [11:46:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [11:46:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [11:46:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [11:46:00 04/04/2015] el: 0 cg: 1663 cu: CCU v1: 3.1 n1: 3.1 rs: Final st: NotStopd
id: Service Type t0: [14:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [15:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [14:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [15:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [14:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 173 n1: 173 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [15:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [14:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 04/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [15:00:00 04/04/2015] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Compliance (40-60ml) t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 10.5 n1: 10.5 u1: L/min st: NotStopd id: PEEP Set t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 2800 n1: 2800 st: NotStopd id: Tank B psi. t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 544 n1: 544 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [15:23:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
pi: 4539787 hi: 19700 t0: [17:00:00 04/04/2015] tf: [16:00:00 05/04/2015] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4539788 hi: 19700 t0: [17:00:00 04/04/2015] tf: [16:00:00 05/04/2015] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Unarousable st: NotStopd id: Corneal Reflex R/L t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Impaired v2: Impaired st: NotStopd id: Cough Reflex t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Daily Wake Up t0: [16:00:00 04/04/2015] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Care t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Family Communication t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Gag Reflex t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: HOB t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 16 gauge st: NotStopd id: IV #4 Insert Date t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: IV #4 Site/Size t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wth/Lth #1 t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 cm v2: 2 cm st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: LU Strength/Movement t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Motor Response t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 189 n1: 189 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: PressureReduceDevice t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: RU Strength/Movement t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Support Systems t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Bowel Sounds t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 04/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 04/04/2015] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Service Type t0: [17:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [17:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [17:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 173 n1: 173 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [17:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 04/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: GT Flush t0: [17:00:00 04/04/2015] el: 1 ai: 198 cg: RN cu: CCU vo: 300 vu: ml id: Urine Out Foley t0: [17:00:00 04/04/2015] el: 1 cg: RN cu: CCU vo: 350 vu: ml
id: Service Type t0: [18:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [18:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP Mean t0: [18:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [18:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [18:00:00 04/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 04/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: GT Flush t0: [18:00:00 04/04/2015] el: 1 ai: 198 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [18:00:00 04/04/2015] el: 1 cg: RN cu: CCU vo: 50 vu: ml
pi: 4540221 hi: 19700 t0: [20:00:00 04/04/2015] tf: [11:00:00 05/04/2015] mn: CeftriaXONE pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 20 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Corneal Reflex R/L t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Impaired v2: Impaired st: NotStopd id: Cough Reflex t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Daily Wake Up t0: [20:00:00 04/04/2015] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Gag Reflex t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Heart Rate t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 16 gauge st: NotStopd id: IV #4 Insert Date t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: IV #4 Site/Size t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: Level of Conscious t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Motor Response t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Orientation t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Size R/L t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: Respiratory Pattern t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Seizure Activity t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: SpO2 t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 04/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [20:00:00 04/04/2015] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Compliance (40-60ml) t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 38.4615 n1: 38.4615 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 14.1 n1: 14.1 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 2800 n1: 2800 st: NotStopd id: Tank B psi. t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 520 n1: 520 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [21:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [21:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 180 n1: 180 u1: mmHg v2: 91 n2: 91 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [21:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 04/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [21:00:00 04/04/2015] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Service Type t0: [22:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [22:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [22:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Activity t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: Oral Care t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Arterial BP t0: [22:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 182 n1: 182 u1: mmHg v2: 92 n2: 92 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg st: NotStopd id: Position t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: PressureReduceDevice t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [21:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Therapeutic Bed t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [20:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [22:00:00 04/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 04/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [22:00:00 04/04/2015] el: 1 ai: 155 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [22:00:00 04/04/2015] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: PO/Gastric In Total t0: [23:00:00 04/04/2015] el: 2 cg: RN cu: CCU cv: 610 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: L/min st: NotStopd id: PEEP Set t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 499 n1: 499 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [22:00:00 04/04/2015] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [23:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [23:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [22:00:00 04/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [23:00:00 04/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 04/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 04/04/2015] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: IV Infusion In Total t0: [23:00:00 04/04/2015] el: 2 cg: RN cu: CCU pv: 210 cv: 1700 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 04/04/2015] el: 2 cg: RN cu: CCU pv: 210 cv: 2310 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 04/04/2015] el: 2 cg: RN cu: CCU pv: 40 cv: 2030 ac: 24 ap: none re: 0
id: Service Type t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 05/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Compliance (40-60ml) t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 45.4545 n1: 45.4545 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 10.7 n1: 10.7 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 513 n1: 513 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Temp. Site t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd
id: Pain Present t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [01:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Corneal Reflex R/L t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Impaired v2: Impaired st: NotStopd id: Cough Reflex t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Daily Wake Up t0: [00:00:00 05/04/2015] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [01:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Gag Reflex t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Heart Rate t0: [01:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 16 gauge st: NotStopd id: IV #4 Insert Date t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: IV #4 Site/Size t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wth/Lth #1 t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 0.5 cm v2: 0.5 cm st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Motor Response t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Oral Care t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [01:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [01:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Seizure Activity t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Care t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [01:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Sputum Color/Consist t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [21:00:00 04/04/2015] el: 0 cg: RN cu: CCU v1: Brown v2: Loose st: NotStopd id: Support Systems t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: Therapeutic Bed t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [01:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: D5W 100.0ml t0: [00:00:00 05/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 150 vu: ml id: Gastric Meds t0: [00:00:00 05/04/2015] el: 1 ai: 155 cg: RN cu: CCU vo: 60 vu: ml id: Stool Out Stool t0: [21:00:00 04/04/2015] el: 1 cg: RN cu: CCU vu: ml es: Large id: Urine Out Foley t0: [00:00:00 05/04/2015] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: PO/Gastric In Total t0: [23:00:00 05/04/2015] el: 2 cg: RN cu: CCU cv: 150 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 04/04/2015] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0 id: Total Hourly Output t0: [23:00:00 04/04/2015] el: 2 cg: RN cu: CCU pv: 40 cv: 40 ac: 1 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 04/04/2015] el: 2 cg: RN cu: CCU pv: 170 cv: 280 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 04/04/2015] el: 2 cg: RN cu: CCU pv: 170 cv: -464 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 04/04/2015] el: 2 cg: RN cu: CCU pv: 170 cv: 170 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 04/04/2015] el: 2 cg: RN cu: CCU pv: 40 cv: 2030 ac: 24 ap: carryForward re: 0
id: Service Type t0: [02:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [02:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 05/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [02:00:00 05/04/2015] el: 1 cg: RN cu: CCU vo: 55 vu: ml
id: Compliance (40-60ml) t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 41.6667 n1: 41.6667 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 9.5 n1: 9.5 u1: L/min st: NotStopd id: PEEP Set t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [02:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 495 n1: 495 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [03:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: calprevflg t0: [03:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 179 n1: 179 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Cough Reflex t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Daily Wake Up t0: [04:00:00 05/04/2015] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Diet Type t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Alarms t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Gag Reflex t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: IV #1 Insert Date t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 16 gauge st: NotStopd id: IV #4 Insert Date t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: IV #4 Site/Size t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Motor Response t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Oral Care t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: PressureReduceDevice t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: Pupil Response R/L t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Seizure Activity t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Spontaneous Movement t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Sputum Color/Consist t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Braden Activity t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 05/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [04:00:00 05/04/2015] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Service Type t0: [05:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Compliance (40-60ml) t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 35.7143 n1: 35.7143 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 71.875 n1: 71.875 u1: units st: NotStopd id: ETT Mark/Location t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 11.8 n1: 11.8 u1: L/min st: NotStopd id: PEEP Set t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: RSBI (<200) t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 71.875 n1: 71.875 u1: units st: NotStopd id: Resp Rate (Spont) t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 0.32 n1: 0.32 u1: L st: NotStopd id: Tidal Volume (Obser) t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 530 n1: 530 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [05:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [06:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 165 n1: 165 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 05/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [06:00:00 05/04/2015] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Art.pH t0: [05:45:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:45:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:45:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:45:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:45:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 88 n1: 88 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:45:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 8.3 n1: 8.3 rs: Final st: NotStopd id: WBC t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 8.3 n1: 8.3 rs: Final st: NotStopd id: Hematocrit t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 31.5 n1: 31.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 11.3 n1: 11.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 166 n1: 166 rs: Final st: NotStopd id: RBC t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 3.53 n1: 3.53 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 8.3 n1: 8.3 rs: Final st: NotStopd
id: BUN t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: Calcium t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 rs: Final st: NotStopd id: Magnesium t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd id: BUN (6-20) t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Dilantin t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 10.1 n1: 10.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phenobarbital t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 24.1 n1: 24.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd
id: PT t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 20.8 n1: 20.8 rs: Final st: NotStopd id: INR t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: PTT t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 29.6 n1: 29.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 20.8 n1: 20.8 rs: Final st: NotStopd id: PTT(22-35) t0: [05:33:00 05/04/2015] el: 0 cg: 1663 cu: CCU v1: 29.6 n1: 29.6 rs: Final st: NotStopd
id: Pain Present t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [07:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Unarousable st: NotStopd id: Corneal Reflex R/L t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Impaired v2: Impaired st: NotStopd id: Cough Reflex t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Daily Wake Up t0: [08:00:00 05/04/2015] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [07:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Care t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Gag Reflex t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: HOB t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 16 gauge st: NotStopd id: IV #4 Insert Date t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: IV #4 Site/Size t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wth/Lth #1 t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 1 cm v2: 2 cm st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Motor Response t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [07:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 156 n1: 156 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 176 n1: 176 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [07:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Position t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: PressureReduceDevice t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [07:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Support Systems t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 38.4444 n1: 38.4444 u1: Deg. C st: NotStopd id: Therapeutic Bed t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 05/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 150 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 05/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [08:00:00 05/04/2015] el: 1 cg: RN cu: CCU vo: 80 vu: ml
pi: 4541336 hi: 19700 t0: [09:00:00 05/04/2015] tf: [08:00:00 06/04/2015] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4541337 hi: 19700 t0: [09:00:00 05/04/2015] tf: [08:00:00 06/04/2015] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 35.7143 n1: 35.7143 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 10.9 n1: 10.9 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 525 n1: 525 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Care t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Activity t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Oral Care t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Arterial BP t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 165 n1: 165 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Position t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: PressureReduceDevice t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Skin Care t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Back Care t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 05/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 05/04/2015] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: ETT Position Change t0: [09:48:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: Done st: NotStopd
id: Service Type t0: [10:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [10:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 210 n2: 210 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [10:00:00 05/04/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 05/04/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 05/04/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 05/04/2015] el: 1 cg: RN cu: CCU vo: 30 vu: ml
pi: 4541847 hi: 19700 t0: [20:00:00 05/04/2015] tf: [06:00:00 06/04/2015] mn: Phenytoin pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4541916 hi: 19700 t0: [12:00:00 05/04/2015] tf: [09:00:00 08/04/2015] mn: Ciprofloxacin pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 12, 0 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [11:21:00 05/04/2015] el: 0 cg: RRT cu: CCU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:21: