This log is also available as text (209cc.txt) and as a (binary) annotation file (209cc.log).
Generated: Thursday, 23-Apr-2009 00:35:08 EDT
(All dates below are surrogates.)
id: Less Restrict Meas. t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Guaiac/ph t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: GI Intub #1/Site t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Position Change t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Therapeutic Bed t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Pt./Family Informed t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 107 n1: 107 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [09:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 173 n1: 173 rs: Manual st: NotStopd id: Bowel Sounds t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Diastolic Unloading t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Ectopy Frequency t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: IABP setting t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Oral Care t0: [09:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PAP Mean t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: mmHg st: NotStopd id: PAP S/D t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 17 n2: 17 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Assisted Systole t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Augmented Diastole t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Respiratory Rate t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: SpO2 t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: % st: NotStopd id: calprevflg t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [10:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Insulin Guideline t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Fingerstick Glucose t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 166 n1: 166 rs: Manual st: NotStopd
id: Midazolam t0: [10:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [10:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IABP setting t0: [10:15:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd
id: Cardiac Index t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 3.61809 n1: 3.61809 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 rs: Manual st: NotStopd id: C.O. (fick) t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 7.16182 n1: 7.16182 u1: L/min st: NotStopd
id: Ectopy Type t0: [11:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [11:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: IABP setting t0: [11:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: PAP Mean t0: [11:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg st: NotStopd id: PAP S/D t0: [11:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg v2: 17 n2: 17 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Assisted Systole t0: [11:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Augmented Diastole t0: [11:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Respiratory Rate t0: [11:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: BAEDP t0: [11:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: SpO2 t0: [11:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [11:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: % st: NotStopd id: calprevflg t0: [11:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [10:30:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 60 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [11:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [11:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 21.7391 n1: 21.7391 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 1:4.0 st: NotStopd id: Airway Size t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 st: NotStopd id: Mean Airway Pressure t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Pressure Support t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 1400 n1: 1400 st: NotStopd id: Tank B psi. t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 478 n1: 478 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:00:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [11:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 206 n1: 206 rs: Manual st: NotStopd
id: Insulin t0: [11:15:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Cardiac Index t0: [11:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 3.61809 n1: 3.61809 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [11:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 rs: Manual st: NotStopd id: C.O. (fick) t0: [11:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 7.16182 n1: 7.16182 u1: L/min st: NotStopd
id: Cough Reflex t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Follows Commands t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: Gag Reflex t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Pupil Response R/L t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [08:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 21/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 21/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml t0: [10:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml t0: [11:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Carrier 250.0ml t0: [10:00:00 21/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: Carrier 250.0ml t0: [11:00:00 21/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 21/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 21/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 6.8 vu: ml id: Urine Out Foley t0: [11:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Less Restrict Meas. t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Oral Care t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [10:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
pi: 4381360 hi: 8869 t0: [13:00:00 21/01/2014] tf: [12:00:00 22/01/2014] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Capillary Refill R/L t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Circulation/SkinInt t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Diet Type t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Eye Care t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Gag Reflex t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Heart Rate t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: IABP setting t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: KneeImmobilizer/Loc t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: On v2: Right Knee st: NotStopd id: LLE Temp/Color t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: PAP S/D t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Augmented Diastole t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Reason For Restraint t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: Side Rails t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Systolic Unloading t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: % st: NotStopd id: Temp. Site t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Turn t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [11:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 150 n1: 150 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 21/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 3.3 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 21/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml t0: [12:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml t0: [13:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Carrier 250.0ml t0: [12:00:00 21/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: Carrier 250.0ml t0: [13:00:00 21/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 21/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 21/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [13:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [12:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [12:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [12:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 21/01/2014] el: 2 cg: RN cu: CCU pv: 22.5 cv: 1384.65 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 21/01/2014] el: 2 cg: RN cu: CCU pv: 45 cv: 45 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 21/01/2014] el: 2 cg: RN cu: CCU pv: 45 cv: 1095 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 21/01/2014] el: 2 cg: RN cu: CCU pv: 45 cv: 1095 ac: 24 ap: none re: 0
id: IABP Mean t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: PAP Mean t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: PAP S/D t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Assisted Systole t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Augmented Diastole t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg st: NotStopd id: Respiratory Rate t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: SpO2 t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: % st: NotStopd
id: Fentanyl t0: [13:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [13:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [13:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 121 n1: 121 rs: Manual st: NotStopd
id: Temperature F t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd
id: Gastric Meds t0: [13:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 60 vu: ml
id: 24h Total In t0: [23:00:00 21/01/2014] el: 2 cg: RN cu: CCU pv: 22.5 cv: 2179.65 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 21/01/2014] el: 2 cg: RN cu: CCU cv: 420 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 21/01/2014] el: 2 cg: RN cu: CCU pv: -22.5 cv: 1084.65 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 21/01/2014] el: 2 cg: RN cu: CCU pv: -22.5 cv: -13.8055 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 21/01/2014] el: 2 cg: RN cu: CCU pv: -22.5 cv: -22.5 ac: 1 ap: none re: 0
id: ABI (R) t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: . st: NotStopd id: ABI Brachial BP R/L t0: [12:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 92 n2: 92 u2: mmHg st: NotStopd
id: Fingerstick Glucose t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 117 n1: 117 rs: Manual st: NotStopd
id: Diastolic Unloading t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Ectopy Type t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: IABP setting t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: IABP setting t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: PAP Mean t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: PAP S/D t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Assisted Systole t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Augmented Diastole t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg st: NotStopd id: Respiratory Rate t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: SpO2 t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: % st: NotStopd id: calprevflg t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [14:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [14:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [14:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Ectopy Type t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Oral Care t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PAP Mean t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP S/D t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Assisted Systole t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Augmented Diastole t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Respiratory Rate t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: BAEDP t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: Skin Care t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Systolic Unloading t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: % st: NotStopd id: Turn t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Back Care t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 21/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 3.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 21/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml t0: [14:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml t0: [15:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Carrier 250.0ml t0: [14:00:00 21/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: Carrier 250.0ml t0: [15:00:00 21/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 21/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 21/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [15:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [15:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [15:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [15:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IABP setting t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: IABP setting t0: [15:15:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1:3 st: NotStopd id: Fingerstick Glucose t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 20.8333 n1: 20.8333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 1:4.0 st: NotStopd id: Airway Size t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Low Exhaled Min Vol t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 st: NotStopd id: Mean Airway Pressure t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 5.7 n1: 5.7 u1: L/min st: NotStopd id: PEEP Set t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Pressure Support t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 1400 n1: 1400 st: NotStopd id: Tank B psi. t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 486 n1: 486 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [15:35:00 21/01/2014] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Cardiac Index t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 4.42211 n1: 4.42211 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 rs: Manual st: NotStopd id: C.O. (fick) t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 8.7895 n1: 8.7895 u1: L/min st: NotStopd
id: D5W 100.0ml t0: [10:00:00 21/01/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml
id: Magnesium t0: [14:51:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Potassium t0: [14:51:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [14:51:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [14:51:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd
id: Art.pH t0: [16:15:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:15:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:15:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:15:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:15:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:15:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd
id: Pain Present t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Risk for Falls t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Eye Opening t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: Gag Reflex t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Heart Rate t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: IABP setting t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1:3 st: NotStopd id: Level of Conscious t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PAP Mean t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP S/D t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: Augmented Diastole t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Respiratory Rate t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: BAEDP t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: SpO2 t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Systolic Unloading t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Verbal Response t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [13:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [15:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 21/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml t0: [16:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Carrier 250.0ml t0: [16:00:00 21/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 21/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [16:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [16:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [16:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [16:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Capillary Refill R/L t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Circulation/SkinInt t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: GU Cath Insert Date t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Abdominal Assessment t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLE Temp/Color t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Angio Appearance #1 t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Dressing #1 t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Angio Site #1 t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position Change t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: RLE Temp/Color t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Location t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Urine Color/Appear t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Pt./Family Informed t0: [14:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: PTT t0: [14:51:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 58.2 n1: 58.2 rs: Final st: NotStopd id: PTT(22-35) t0: [14:51:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 58.2 n1: 58.2 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 rs: Manual st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml id: Packed RBC's t0: [17:00:00 21/01/2014] el: 1 ai: 416 cg: RN cu: CCU vo: 95 vu: ml uu: Units id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 21/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml t0: [17:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Carrier 250.0ml t0: [17:00:00 21/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 21/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [17:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [17:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [16:30:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [17:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Diastolic Unloading t0: [17:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Ectopy Frequency t0: [17:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [17:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [17:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: PAP Mean t0: [17:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP S/D t0: [17:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Assisted Systole t0: [17:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Augmented Diastole t0: [17:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Respiratory Rate t0: [17:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: BAEDP t0: [17:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: SpO2 t0: [17:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [17:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: % st: NotStopd id: calprevflg t0: [17:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Temp. Site t0: [16:50:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temp. Site t0: [17:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:50:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 37.9444 n1: 37.9444 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [17:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:50:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 100.3 n1: 100.3 u1: Deg. F st: NotStopd id: Temperature F t0: [17:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: Deg. F st: NotStopd
id: Cardiac Index t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 4.07035 n1: 4.07035 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 rs: Manual st: NotStopd id: C.O. (fick) t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 8.05705 n1: 8.05705 u1: L/min st: NotStopd
id: D5W 100.0ml t0: [17:00:00 21/01/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml
id: Fingerstick Glucose t0: [17:00:00 21/01/2014] el: 0 cg: CoWker cu: CCU v1: 111 n1: 111 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Oral Care t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Turn t0: [17:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml id: Packed RBC's t0: [18:00:00 21/01/2014] el: 1 ai: 416 cg: RN cu: CCU vo: 95 vu: ml uu: Units id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 21/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 250.0ml t0: [18:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vu: ml st: Stopped id: Carrier 250.0ml t0: [18:00:00 21/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 21/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [17:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Diastolic Unloading t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Ectopy Frequency t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: IABP setting t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1:3 st: NotStopd id: PAP Mean t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg st: NotStopd id: PAP S/D t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Assisted Systole t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Augmented Diastole t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Respiratory Rate t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: SpO2 t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Systolic Unloading t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: % st: NotStopd id: Temp. Site t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: calprevflg t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [17:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Urine Out Foley t0: [18:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 165 vu: ml
id: Fentanyl t0: [18:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [18:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Insulin t0: [18:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Turn t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd
id: Heparin t0: [18:15:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [18:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 138 n1: 138 rs: Manual st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml id: Packed RBC's t0: [19:00:00 21/01/2014] el: 1 ai: 416 cg: RN cu: CCU vo: 95 vu: ml uu: Units id: Gastric Meds t0: [17:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 21/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 2 vu: ml id: Carrier 250.0ml t0: [19:00:00 21/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 21/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [19:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 170 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Diastolic Unloading t0: [19:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [19:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [19:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [19:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [19:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: IABP setting t0: [19:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [19:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [19:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Assisted Systole t0: [19:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Augmented Diastole t0: [19:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Respiratory Rate t0: [19:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [19:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: SpO2 t0: [19:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [19:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: % st: NotStopd id: calprevflg t0: [19:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [19:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [19:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [19:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Temp. Site t0: [19:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [19:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [19:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd
id: Fingerstick Glucose t0: [19:00:00 21/01/2014] el: 0 cg: CoWker cu: CCU v1: 96 n1: 96 rs: Manual st: NotStopd
id: Oral Care t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd
id: Insulin t0: [19:45:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 21/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 1.75 vu: ml id: Carrier 250.0ml t0: [20:00:00 21/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 21/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [20:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Pain Present t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: IABP setting t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP S/D t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Pain Cause t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Respiratory Rate t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Sputum Color/Consist t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Systolic Unloading t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 37.9444 n1: 37.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 100.3 n1: 100.3 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Fentanyl t0: [20:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [20:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [20:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Capillary Refill R/L t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Circulation/SkinInt t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Education Barrier t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Commun Barrier st: NotStopd id: Education Handout t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Response t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Gag Reflex t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Abdominal Assessment t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLE Temp/Color t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position Change t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: RLE Temp/Color t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Urine Color/Appear t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: INV Line#1 Type/Site t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd
id: Family Communication t0: [19:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Fam Talked to RN st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Follows Commands t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: Pupil Response R/L t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd
id: Fingerstick Glucose t0: [20:00:00 21/01/2014] el: 0 cg: CoWker cu: CCU v1: 123 n1: 123 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 26.3158 n1: 26.3158 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 1:2.6 st: NotStopd id: Airway Size t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Low Exhaled Min Vol t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 5.8 n1: 5.8 u1: L/min st: NotStopd id: PEEP Set t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 490 n1: 490 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [21:00:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: IABP setting t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: PAP S/D t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Respiratory Rate t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: BAEDP t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: SpO2 t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: % st: NotStopd id: calprevflg t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Fentanyl t0: [21:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [21:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [21:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml id: Packed RBC's t0: [20:00:00 21/01/2014] el: 1 ai: 416 cg: RN cu: CCU vo: 90 vu: ml uu: Units st: Stopped id: Gastric Meds t0: [21:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 21/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 1 vu: ml id: GT Flush t0: [21:00:00 21/01/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 30 vu: ml id: Carrier 250.0ml t0: [21:00:00 21/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 21/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [21:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 115 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Blood Products Total t0: [23:00:00 21/01/2014] el: 2 cg: RN cu: CCU cv: 375 ac: 24 ap: none re: 0
id: Diet Type t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: GU Cath Insert Date t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Angio Site #1 t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Respiratory Pattern t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Source t0: [21:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd
id: Service Type t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: IABP setting t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: PAP S/D t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg st: NotStopd id: Respiratory Rate t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: BAEDP t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: SpO2 t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: % st: NotStopd id: calprevflg t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Fentanyl t0: [22:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [22:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [22:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Pain Cause t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 21/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 1 vu: ml id: Carrier 250.0ml t0: [22:00:00 21/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 21/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [22:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 65 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Less Restrict Meas. t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Position Change t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Hematocrit t0: [22:00:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 30.3 n1: 30.3 u1: % rs: Final st: NotStopd
id: Fingerstick Glucose t0: [22:00:00 21/01/2014] el: 0 cg: CoWker cu: CCU v1: 135 n1: 135 rs: Manual st: NotStopd
id: BUN t0: [22:00:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 17 n1: 17 rs: Final st: NotStopd id: Chloride t0: [22:00:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [22:00:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [22:00:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 127 n1: 127 rs: Final st: NotStopd id: Magnesium t0: [22:00:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Potassium t0: [22:00:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [22:00:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd id: BUN (6-20) t0: [22:00:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 17 n1: 17 rs: Final st: NotStopd id: Carbon Dioxide t0: [22:00:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [22:00:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [22:00:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [22:00:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 127 n1: 127 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [22:00:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [22:00:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [22:00:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd
pi: 4383834 hi: 8869 t0: [00:00:00 22/01/2014] tf: [00:00:00 22/01/2014] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: IABP setting t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP S/D t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Respiratory Rate t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: SpO2 t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Systolic Unloading t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: % st: NotStopd id: calprevflg t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [23:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Fentanyl t0: [23:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [23:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [23:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 21/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 1 vu: ml id: Carrier 250.0ml t0: [23:00:00 21/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 21/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [23:00:00 21/01/2014] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: HOB t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Activity t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: KneeImmobilizer/Loc t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: On v2: Right Knee st: NotStopd id: KneeImmobilizer/Loc t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: On v2: Right Knee st: NotStopd id: Position t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Compliance (40-60ml) t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 23.8095 n1: 23.8095 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 1:2.6 st: NotStopd id: Airway Size t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Low Exhaled Min Vol t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 5.9 n1: 5.9 u1: L/min st: NotStopd id: PEEP Set t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [23:54:00 21/01/2014] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
pi: 4384091 hi: 8869 t0: [01:00:00 22/01/2014] tf: [00:00:00 23/01/2014] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4384092 hi: 8869 t0: [01:00:00 22/01/2014] tf: [00:00:00 23/01/2014] mn: Potassium Chloride pt: Unit Dose st: Expired rt: NG fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Fingerstick Glucose t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 138 n1: 138 rs: Manual st: NotStopd
id: PT t0: [22:00:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 12.9 n1: 12.9 rs: Final st: NotStopd id: INR t0: [22:00:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [22:00:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 45.2 n1: 45.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [22:00:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [22:00:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 12.9 n1: 12.9 rs: Final st: NotStopd id: PTT(22-35) t0: [22:00:00 21/01/2014] el: 0 cg: 1663 cu: CCU v1: 45.2 n1: 45.2 rs: Final st: NotStopd
id: Hematocrit t0: [00:28:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 u1: % rs: Final st: NotStopd
id: Service Type t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: IABP setting t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP S/D t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Respiratory Rate t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: SpO2 t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: % st: NotStopd id: calprevflg t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Fentanyl t0: [00:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [00:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [00:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [00:31:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [00:31:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [00:31:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [00:31:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 40 n1: 40 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [00:31:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 86 n1: 86 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [00:31:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: SaO2 t0: [00:31:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 95 n1: 95 u1: % rs: Final st: NotStopd
id: CaO2 t0: [00:31:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 13.5058 n1: 13.5058 u1: ml/dl st: NotStopd id: Cardiac Index t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 3.46734 n1: 3.46734 u1: ... st: NotStopd id: DO2I t0: [00:31:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 485.8 n1: 485.8 u1: ml/m/m st: NotStopd id: Hemoglobin t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 10.4 n1: 10.4 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 rs: Manual st: NotStopd
id: Temp. Site t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 38.4444 n1: 38.4444 u1: Deg. C st: NotStopd
id: Pain Management t0: [22:00:00 21/01/2014] el: 1 cg: RN cu: CCU v1: IV Gtt v2: Repositioned st: NotStopd
id: Service Type t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Ectopy Frequency t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: IABP setting t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: PAP S/D t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Respiratory Rate t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: SpO2 t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Systolic Unloading t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: % st: NotStopd id: calprevflg t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Fentanyl t0: [01:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [01:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [01:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 161 n1: 161 rs: Manual st: NotStopd
id: Heparin t0: [01:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [01:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Pain Cause t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 6.5 vu: ml id: Gastric Meds t0: [22:00:00 21/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 22/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 1 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 22/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 1 vu: ml id: GT Flush t0: [22:00:00 21/01/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 30 vu: ml id: Carrier 250.0ml t0: [00:00:00 22/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 5 vu: ml nb: 1 id: Carrier 250.0ml t0: [01:00:00 22/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 22/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 22/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [00:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [01:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Capillary Refill R/L t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: GI Prophylaxis t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: GU Cath Insert Date t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Abdominal Assessment t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLE Temp/Color t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: RLE Temp/Color t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Respiratory Pattern t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Color/Appear t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Position Change t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Pain Present t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Pain Cause t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Location t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Sputum Color/Consist t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd
id: Service Type t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: IABP setting t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: PAP S/D t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Respiratory Rate t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: SpO2 t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Systolic Unloading t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: % st: NotStopd id: Temp. Site t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 38.3889 n1: 38.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 101.1 n1: 101.1 u1: Deg. F st: NotStopd id: calprevflg t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Fentanyl t0: [02:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [02:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [02:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 7.25 vu: ml id: Gastric Meds t0: [02:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 22/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 1.25 vu: ml id: GT Flush t0: [02:00:00 22/01/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 30 vu: ml id: Carrier 250.0ml t0: [02:00:00 22/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 22/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [02:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Cough Reflex t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Follows Commands t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: Gag Reflex t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: LLL Lung Sounds t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Pupil Response R/L t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Bowel Sounds t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: HOB t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Activity t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [00:00:00 22/01/2014] el: 0 cg: RN cu: CCU st: NotStopd id: Position t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Pt./Family Informed t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Service Type t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: IABP setting t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Respiratory Rate t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: Sputum Color/Consist t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Systolic Unloading t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: Temp. Site t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 37.9444 n1: 37.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 100.3 n1: 100.3 u1: Deg. F st: NotStopd id: calprevflg t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 22/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 1.5 vu: ml id: Carrier 250.0ml t0: [03:00:00 22/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 22/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [03:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [03:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: HOB t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Activity t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Position t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd
id: Fingerstick Glucose t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 173 n1: 173 rs: Manual st: NotStopd
id: Insulin t0: [03:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: SpO2 t0: [03:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd
id: Urine Out Foley t0: [03:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 21 vu: ml
id: Compliance (40-60ml) t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 26.3158 n1: 26.3158 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: OR/Procedure st: NotStopd id: ETT Mark/Location t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 1:2.6 st: NotStopd id: Airway Size t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 5.7 n1: 5.7 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 470 n1: 470 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Diet Type t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Intub Site t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: GU Cath Insert Date t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: LLE Temp/Color t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLE Temp/Color t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Angio Appearance #1 t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #1 t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Dressing #1 t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #1 t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Site #1 t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Angio Site #2 t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: RLE Temp/Color t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLE Temp/Color t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Respiratory Pattern t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Source t0: [02:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [22:00:00 21/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd
id: Service Type t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: IABP setting t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP S/D t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Respiratory Rate t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Systolic Unloading t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: % st: NotStopd id: calprevflg t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Fentanyl t0: [04:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [04:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [04:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 22/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml id: Carrier 250.0ml t0: [04:00:00 22/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 22/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [04:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 22 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Temp. Site t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd
id: INV Line#1 Type/Site t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd
id: Pain Present t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Oral Care t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Cause t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Skin Care t0: [01:00:00 22/01/2014] el: 0 cg: RN cu: CCU st: NotStopd
id: Fingerstick Glucose t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 137 n1: 137 rs: Manual st: NotStopd
id: Cough Reflex t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Gag Reflex t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Abdominal Assessment t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLE Temp/Color t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Pupil Response R/L t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Stool Guaiac t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Capillary Refill R/L t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Circulation/SkinInt t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Follows Commands t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: Oral Care t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [04:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: RSBI (<100) t0: [05:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 45.7143 n1: 45.7143 u1: units st: NotStopd id: RSBI (<200) t0: [05:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 45.7143 n1: 45.7143 u1: units st: NotStopd id: Spon RR (Mech.) t0: [05:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [05:00:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 0.35 n1: 0.35 u1: L st: NotStopd
id: ABI (L) t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1.08772 n1: 1.08772 u1: . st: NotStopd id: ABI (R) t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1.12281 n1: 1.12281 u1: . st: NotStopd id: ABI Ankle BP R/L t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 124 n2: 124 u2: mmHg st: NotStopd id: ABI Brachial BP R/L t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd
id: Service Type t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: IABP setting t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: PAP S/D t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg st: NotStopd id: Respiratory Rate t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: SpO2 t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: % st: NotStopd id: calprevflg t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Fentanyl t0: [05:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [05:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [05:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Temp. Site t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd
id: D5W 100.0ml t0: [05:00:00 22/01/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 22/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml id: Carrier 250.0ml t0: [05:00:00 22/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 22/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [05:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 41 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Art.pH t0: [05:37:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:37:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:37:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:37:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:37:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 92 n1: 92 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:37:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 160 n1: 160 rs: Manual st: NotStopd
id: Insulin t0: [05:45:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Hematocrit t0: [05:47:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 u1: % rs: Final st: NotStopd
id: Cardiac Index t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 3.06533 n1: 3.06533 u1: ... st: NotStopd id: Hemoglobin t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 10.1 n1: 10.1 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 rs: Manual st: NotStopd id: C.O. (fick) t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 6.12655 n1: 6.12655 u1: L/min st: NotStopd
id: WBC (4-11,000) t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: WBC t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: HOB t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Activity t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Position t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Therapeutic Bed t0: [05:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Hematocrit t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 29.8 n1: 29.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 10.6 n1: 10.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 145 n1: 145 rs: Final st: NotStopd id: RBC t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 3.08 n1: 3.08 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd
id: BUN t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 17 n1: 17 rs: Final st: NotStopd id: Calcium t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 159 n1: 159 rs: Final st: NotStopd id: Magnesium t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd id: BUN (6-20) t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 17 n1: 17 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 159 n1: 159 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:36:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: IABP setting t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP S/D t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: BAEDP t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: SpO2 t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: % st: NotStopd id: calprevflg t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Fentanyl t0: [06:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [06:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [06:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Pain Cause t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Respiratory Rate t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 22/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 2.625 vu: ml id: Carrier 250.0ml t0: [06:00:00 22/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 22/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [06:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 36 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fingerstick Glucose t0: [06:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 144 n1: 144 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 1:2.6 st: NotStopd id: Airway Size t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 5.6 n1: 5.6 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Pressure Support t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 1900 n1: 1900 st: NotStopd id: Tank B psi. t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 495 n1: 495 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
pi: 4384865 hi: 8869 t0: [09:00:00 22/01/2014] tf: [08:00:00 23/01/2014] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4384866 hi: 8869 t0: [09:00:00 22/01/2014] tf: [17:00:00 28/01/2014] mn: Piperacillin-Tazobactam Na pt: IV Piggyback st: Discontinued rt: IV fr: Q8H ds: 9, 17, 1 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4384867 hi: 8869 t0: [16:00:00 22/01/2014] tf: [16:00:00 22/01/2014] mn: Captopril pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: IABP setting t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Insert Date t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: PAP Mean t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: PAP S/D t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP Mean t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg st: NotStopd id: Respiratory Rate t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: SpO2 t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: % st: NotStopd id: Arterial BP #2 t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: calprevflg t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 rs: Manual st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 16 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 22/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 6 vu: ml id: Carrier 250.0ml t0: [08:00:00 22/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 22/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [08:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 38 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [08:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [08:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [08:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Ectopy Frequency t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: IABP setting t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: PAP S/D t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg st: NotStopd id: Respiratory Rate t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Systolic Unloading t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: % st: NotStopd id: Arterial BP #2 t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: calprevflg t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 rs: Manual st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 22/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 3 vu: ml st: Stopped id: Carrier 250.0ml t0: [09:00:00 22/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 22/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [09:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [09:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [09:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [09:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Cough Reflex t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Gag Reflex t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Abdominal Assessment t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLE Temp/Color t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Pupil Response R/L t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Respiratory Pattern t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Stool Guaiac t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: PT t0: [08:00:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 13.6 n1: 13.6 rs: Final st: NotStopd id: INR t0: [08:00:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [08:00:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 79.5 n1: 79.5 rs: Final st: NotStopd id: Education Topic #1 t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Family Communication t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: LLL Lung Sounds t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Oral Care t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: RLL Lung Sounds t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INR (2-4 ref. range) t0: [08:00:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [08:00:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 13.6 n1: 13.6 rs: Final st: NotStopd id: PTT(22-35) t0: [08:00:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 79.5 n1: 79.5 rs: Final st: NotStopd id: Braden Activity t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Temp. Site t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 38.6667 n1: 38.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 101.6 n1: 101.6 u1: Deg. F st: NotStopd
pi: 4385156 hi: 8869 t0: [20:00:00 22/01/2014] tf: [11:00:00 28/01/2014] mn: Docusate Sodium (Liquid) pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4385157 hi: 8869 t0: [11:00:00 22/01/2014] tf: [19:00:00 03/02/2014] mn: Senna pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Eye Care t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: IABP setting t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: INV Line#1 Type/Site t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2SiteAppear t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: PAP Mean t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: PAP S/D t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Respiratory Rate t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: Skin Care t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: % st: NotStopd id: Arterial BP #2 t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Therapeutic Bed t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Back Care t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 143 n1: 143 rs: Manual st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: Carrier 250.0ml t0: [10:00:00 22/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 22/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [10:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 600 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [10:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [10:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [10:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Topic #1 t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Heart Rate t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: IABP setting t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: PAP Mean t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: PAP S/D t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg st: NotStopd id: Reason For Restraint t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: Side Rails t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: % st: NotStopd id: Spiritual Support t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clergy Visited st: NotStopd id: Support Systems t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Systolic Unloading t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: % st: NotStopd id: Arterial BP #2 t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: calprevflg t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: Carrier 250.0ml t0: [11:00:00 22/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 22/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [11:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [11:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [11:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 121 n1: 121 rs: Manual st: NotStopd
id: Insulin t0: [11:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 21.7391 n1: 21.7391 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 1:2.6 st: NotStopd id: Airway Size t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 7.4 n1: 7.4 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Pressure Support t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 1900 n1: 1900 st: NotStopd id: Tank B psi. t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 495 n1: 495 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: HOB t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Activity t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Oral Care t0: [11:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd
id: Pain Present t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Risk for Falls t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Diet Type t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Eye Opening t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Gag Reflex t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Heart Rate t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: IABP setting t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Level of Conscious t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: PAP S/D t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Respiratory Pattern t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: Systolic Unloading t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: % st: NotStopd id: Arterial BP #2 t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Temp. Site t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: Deg. F st: NotStopd id: Urine Source t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: Carrier 250.0ml t0: [12:00:00 22/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 22/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [12:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [12:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [12:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [12:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Education Topic #1 t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Abdominal Assessment t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLE Temp/Color t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Angio Appearance #1 t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Oozing v2: Clean and Dry st: NotStopd id: Angio Dressing #1 t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Position Change t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: RLE Temp/Color t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Urine Color/Appear t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Pt./Family Informed t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 144 n1: 144 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Cardiac Index t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 7.33668 n1: 7.33668 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 rs: Manual st: NotStopd id: C.O. (fick) t0: [12:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 14.5939 n1: 14.5939 u1: L/min st: NotStopd
id: Service Type t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Ectopy Frequency t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: IABP setting t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:3 st: NotStopd id: PAP Mean t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: PAP S/D t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Respiratory Rate t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: SpO2 t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: % st: NotStopd id: Arterial BP #2 t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: calprevflg t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [11:00:00 22/01/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: Carrier 250.0ml t0: [13:00:00 22/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 22/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [13:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [13:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [13:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [13:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 145 n1: 145 rs: Manual st: NotStopd
id: Oral Care t0: [13:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Service Type t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: HOB t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Activity t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: PAP Mean t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg st: NotStopd id: PAP S/D t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Respiratory Rate t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Systolic Unloading t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: % st: NotStopd id: Arterial BP #2 t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Therapeutic Bed t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: calprevflg t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml st: Stopped id: Carrier 250.0ml t0: [14:00:00 22/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 22/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [14:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [14:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [14:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [14:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IABP setting t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Fingerstick Glucose t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 140 n1: 140 rs: Manual st: NotStopd
id: Service Type t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: % st: NotStopd id: Ectopy Frequency t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: IABP setting t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Respiratory Rate t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: Systolic Unloading t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: % st: NotStopd id: Arterial BP #2 t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Temp. Site t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 38.3889 n1: 38.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 101.1 n1: 101.1 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Carrier 250.0ml t0: [15:00:00 22/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 22/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [15:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [15:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [15:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [15:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [15:00:00 22/01/2014] el: 0 cg: CoWker cu: CCU v1: 133 n1: 133 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [16:00:00 22/01/2014] el: 0 cg: CoWker cu: CCU v1: 154 n1: 154 rs: Manual st: NotStopd
id: Dopamine io: D5W 250.0ml + 400mcgkgmin Dopamine el: 100 cg: RN cu: CCU am: 400 du: mcgkgmin rt: IV Drip
id: Service Type t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: IABP setting t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Respiratory Rate t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: SpO2 t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: % st: NotStopd id: Arterial BP #2 t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: Temp. Site t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: Deg. F st: NotStopd id: calprevflg t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [15:00:00 22/01/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: Carrier 250.0ml t0: [16:00:00 22/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 22/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [16:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 28 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Heparin t0: [16:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [16:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 23.8095 n1: 23.8095 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 1:2.6 st: NotStopd id: Airway Size t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 7.3 n1: 7.3 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Pressure Support t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 1900 n1: 1900 st: NotStopd id: Tank B psi. t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 572 n1: 572 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 22/01/2014] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [16:15:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:15:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:15:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:15:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [16:15:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: IABP setting t0: [16:15:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [16:15:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: PAP S/D t0: [16:15:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP t0: [16:15:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:15:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [16:15:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:15:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:15:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:15:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:15:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:15:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:15:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [16:15:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Arterial BP #2 t0: [16:15:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [16:15:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: calprevflg t0: [16:15:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [16:15:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [16:15:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [16:15:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fentanyl t0: [15:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:15:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [16:15:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Gag Reflex t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Abdominal Assessment t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Location t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position Change t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Pupil Response R/L t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Urine Source t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [14:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: BUN t0: [16:00:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: Chloride t0: [16:00:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [16:00:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [16:00:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 178 n1: 178 rs: Final st: NotStopd id: Magnesium t0: [16:00:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Potassium t0: [16:00:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium t0: [16:00:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd id: BUN (6-20) t0: [16:00:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: Carbon Dioxide t0: [16:00:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [16:00:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [16:00:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [16:00:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 178 n1: 178 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [16:00:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:00:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [16:00:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [16:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [16:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [16:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Health Care Proxy t0: [16:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Topic #1 t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Heart Rate t0: [16:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [16:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP setting t0: [16:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [16:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: PAP Mean t0: [16:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: PAP Mean t0: [16:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP S/D t0: [16:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: PAP S/D t0: [16:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: Arterial BP t0: [16:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [16:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Position Change t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [16:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:30:00 22/01/2014] 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: [16:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [16:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [16:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [16:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Arterial BP #2 t0: [16:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [16:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [16:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [16:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: calprevflg t0: [16:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Fentanyl t0: [16:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:45:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [16:45:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [16:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [16:45:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [16:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [16:45:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [16:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [16:45:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Cardiac Index t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 3.71859 n1: 3.71859 u1: ... st: NotStopd id: Hemoglobin t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 10.1 n1: 10.1 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 rs: Manual st: NotStopd id: C.O. (fick) t0: [16:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 7.35185 n1: 7.35185 u1: L/min st: NotStopd
pi: 4386586 hi: 8869 t0: [18:00:00 22/01/2014] tf: [17:00:00 23/01/2014] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4386587 hi: 8869 t0: [18:00:00 22/01/2014] tf: [17:00:00 24/01/2014] mn: DOPamine pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: IABP setting t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: PAP S/D t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Respiratory Rate t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg st: NotStopd id: SpO2 t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Systolic Unloading t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: % st: NotStopd id: Arterial BP #2 t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: calprevflg t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [16:00:00 22/01/2014] el: 1 ai: 115 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Carrier 250.0ml t0: [17:00:00 22/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 22/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 0.625 vu: ml id: Urine Out Foley t0: [17:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 32 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0.625 vu: ml
id: Fentanyl t0: [17:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [17:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [17:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [17:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 4386927 hi: 8869 t0: [19:00:00 22/01/2014] tf: [18:00:00 23/01/2014] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: IABP setting t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: PAP S/D t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg st: NotStopd id: Respiratory Rate t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: SpO2 t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Systolic Unloading t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Arterial BP #2 t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: calprevflg t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Carrier 250.0ml t0: [18:00:00 22/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 22/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [18:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 240 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml
id: Fentanyl t0: [18:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [18:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [18:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [17:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 206 n1: 206 rs: Manual st: NotStopd
id: Service Type t0: [15:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Cardiac Index t0: [15:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 3.71859 n1: 3.71859 u1: ... st: NotStopd id: Code Status t0: [15:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [15:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: BPM st: NotStopd id: IABP setting t0: [15:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [15:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [15:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [15:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [15:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [15:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Arterial BP #2 t0: [15:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [15:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: calprevflg t0: [15:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [15:45:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:45:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [15:45:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [15:45:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Position Change t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: BSA t0: [18:49:00 22/01/2014] el: 1033 cg: -1 cu: CCU v1: 1.98723 n1: 1.98723 u1: m2 id: Admit Wt t0: [18:49:00 22/01/2014] el: 1032 cg: -1 cu: CCU v1: 81 n1: 81 u1: kg id: Allergy 1 t0: [18:49:00 22/01/2014] el: 1020 cg: -1 cu: CCU v1: No Known Drug Allergies id: Diagnosis/op t0: [18:49:00 22/01/2014] el: 1023 cg: -1 cu: CCU v1: CAD id: Service t0: [18:49:00 22/01/2014] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [18:49:00 22/01/2014] el: 1034 cg: -1 cu: CCU v1: 67 n1: 67 u1: inches id: Readmission t0: [18:49:00 22/01/2014] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [18:49:00 22/01/2014] el: 1006 cg: -1 cu: CCU v1: M id: Religion t0: [18:49:00 22/01/2014] el: 1000 cg: -1 cu: CCU v1: U id: Allergy 2 t0: [18:49:00 22/01/2014] el: 1021 cg: -1 cu: CCU id: Ext t0: [18:49:00 22/01/2014] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [18:49:00 22/01/2014] el: 1022 cg: -1 cu: CCU
id: Compliance (40-60ml) t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 21.7391 n1: 21.7391 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 1:2.6 st: NotStopd id: Airway Size t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Low Exhaled Min Vol t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 5.9 n1: 5.9 u1: L/min st: NotStopd id: PEEP Set t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 1900 n1: 1900 st: NotStopd id: Tank B psi. t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 510 n1: 510 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:10:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: IABP setting t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: PAP S/D t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Arterial BP #2 t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: calprevflg t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [19:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [19:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [19:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: INV Line#2 Zero/Cal t0: [19:31:00 22/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 WaveformAppear t0: [19:31:00 22/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Runs Vtach st: NotStopd id: Ectopy Frequency t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Heart Rate t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: IABP setting t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 D/C Date t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV Line#2 Type/Site t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: INV Line#2InsertDate t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2SiteAppear t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: PAP Mean t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: PAP S/D t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Arterial BP t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Respiratory Rate t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: SpO2 t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: % st: NotStopd id: Arterial BP #2 t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: calprevflg t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 215 n1: 215 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 202 n1: 202 rs: Manual st: NotStopd
id: Fentanyl t0: [19:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [19:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [19:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [18:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [19:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [19:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Temperature C t0: [20:00:00 22/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: PA line cm Mark t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: IABP setting t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [19:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Line Placement st: NotStopd id: Procedures t0: [19:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sheath D/C st: NotStopd id: Procedures t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Line Placement st: NotStopd id: Augmented Diastole t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Respiratory Rate t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: SpO2 t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: % st: NotStopd id: Arterial BP #2 t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: calprevflg t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Carrier 250.0ml t0: [20:00:00 22/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 22/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [20:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 180 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [20:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [20:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [20:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [20:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [20:25:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [20:25:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: -3 n1: -3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [20:25:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [20:25:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [20:25:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [20:25:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Hematocrit t0: [20:25:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 36 n1: 36 u1: % rs: Final st: NotStopd id: SaO2 t0: [20:25:00 22/01/2014] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Service Type t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: PA line cm Mark t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: IABP setting t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP S/D t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: PCWP t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Arterial BP t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sheath D/C st: NotStopd id: Augmented Diastole t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Respiratory Rate t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: SpO2 t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: % st: NotStopd id: Arterial BP #2 t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: calprevflg t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [20:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [20:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [20:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: CaO2 t0: [20:25:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 16.2121 n1: 16.2121 u1: ml/dl st: NotStopd id: Cardiac Index t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 3.06533 n1: 3.06533 u1: ... st: NotStopd id: DO2I t0: [20:25:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 491.2 n1: 491.2 u1: ml/m/m st: NotStopd id: PVRI t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 338.762 n1: 338.762 u1: ... st: NotStopd id: SVR t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 642.623 n1: 642.623 u1: ... st: NotStopd id: SVRI t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1276.87 n1: 1276.87 u1: ... st: NotStopd id: Swan SVO2 t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: % st: NotStopd id: Temp. Site t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Hemoglobin t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12.1 n1: 12.1 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 rs: Manual st: NotStopd id: SaO2 t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 6.13667 n1: 6.13667 u1: L/min st: NotStopd
id: Service Type t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Cardiac Index t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 3.06533 n1: 3.06533 u1: ... st: NotStopd id: Code Status t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: PA line cm Mark t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: IABP setting t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: NBP t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [20:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: PAP Mean t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP S/D t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: PCWP t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: PVRI t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 338.762 n1: 338.762 u1: ... st: NotStopd id: Arterial BP t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SVRI t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1693.81 n1: 1693.81 u1: ... st: NotStopd id: SpO2 t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [20:45:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:45:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:45:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [20:45:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [20:45:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [20:45:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: HOB Measurement t0: [21:00:00 22/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: Packed RBC's t0: [21:00:00 22/01/2014] el: 1 ai: 416 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Fingerstick Glucose t0: [20:00:00 22/01/2014] el: 0 cg: CoWker cu: CCU v1: 174 n1: 174 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [21:00:00 22/01/2014] el: 0 cg: CoWker cu: CCU v1: 143 n1: 143 rs: Manual st: NotStopd
id: Pain Present t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 22/01/2014] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: Risk for Falls t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Health Care Proxy t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: PA line cm Mark t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: IABP Mean t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: IABP setting t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: NBP t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: PAP Mean t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP Mean t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP S/D t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: PAP S/D t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Location t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Pain Type t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Assisted Systole t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 22/01/2014] 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 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Augmented Diastole t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Respiratory Rate t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: BAEDP t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: BAEDP t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: SpO2 t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: calprevflg t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [21:00:00 22/01/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: Gastric Meds t0: [21:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 22/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 0 vu: ml nb: 1 st: NotStopd id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 22/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 4.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 22/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 6 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 22/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 5.25 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 22/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 6 vu: ml id: .9% Normal Saline 250.0ml t0: [22:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: GT Flush t0: [21:00:00 22/01/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 60 vu: ml id: Carrier 250.0ml t0: [22:00:00 22/01/2014] el: 1 ai: 111 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 22/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [22:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [21:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [21:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [21:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [22:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [21:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [22:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 22/01/2014] el: 2 cg: RN cu: CCU cv: 270 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Alarms t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Invasive Lines st: NotStopd id: Education Topic #2 t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Cardiac Cath st: NotStopd id: Family Communication t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Fam Talked to RN st: NotStopd id: Family Communication t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Fam Talked to RN st: NotStopd id: Position Change t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Procedures t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sheath D/C st: NotStopd id: Reason For Restraint t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Location t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Integrity t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Temp. Site t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Behavior t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Behavior t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 137 n1: 137 rs: Manual st: NotStopd id: Braden Activity t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: Carrier 250.0ml t0: [22:01:00 22/01/2014] el: 1 ai: 111 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Compliance (40-60ml) t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 23.8095 n1: 23.8095 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 1:2.6 st: NotStopd id: Airway Size t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Low Exhaled Min Vol t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 5.8 n1: 5.8 u1: L/min st: NotStopd id: PEEP Set t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Obser) t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 510 n1: 510 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [22:48:00 22/01/2014] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: PA line cm Mark t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: IABP setting t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: NBP t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: PAP Mean t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP S/D t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Respiratory Rate t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: SpO2 t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: Temp. Site t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: calprevflg t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 22/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 250.0ml t0: [23:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 22/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [23:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 145 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 22/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [23:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [23:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: INV Line#1 D/C Date t0: [23:00:00 22/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: Fingerstick Glucose t0: [23:00:00 22/01/2014] el: 0 cg: CoWker cu: CCU v1: 104 n1: 104 rs: Manual st: NotStopd
id: INV Line#1 D/C Date t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1 Type/Site t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1 Type/Site t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1 Zero/Cal t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1 Zero/Cal t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1InsertDate t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1InsertDate t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Type/Site t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Type/Site t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3 Zero/Cal t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3InsertDate t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3InsertDate t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3SiteAppear t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Left IJ st: NotStopd id: INV Line#4 Zero/Cal t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV Line#4SiteAppear t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#1 WaveformAppear t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#1 WaveformAppear t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Insert Date t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Insert Date t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Insert Date t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Insert Date t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Insert Date t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Insert Date t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Site/Size t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Site/Size t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#3 Cap Change t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#3 Tubing Change t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Cap Change t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#4 Tubing Change t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd
id: HOB t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Flat in Bed st: NotStopd id: INV Line#4 Type/Site t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Left IJ st: NotStopd id: INV Line#4 Zero/Cal t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV Line#4SiteAppear t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#5 Type/Site t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#5 Zero/Cal t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#5InsertDate t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV Line#5SiteAppear t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#4 WaveformAppear t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#5 WaveformAppear t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: KneeImmobilizer/Loc t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: On v2: Both Knees st: NotStopd id: KneeImmobilizer/Loc t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: On v2: Both Knees st: NotStopd id: Oral Care t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU st: NotStopd id: Position t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#4 Dsg Change t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#5 Dsg Change t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Skin Care t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#4 Cap Change t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#4 Tubing Change t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#5 Cap Change t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#5 Tubing Change t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Therapeutic Bed t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Service Type t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: PA line cm Mark t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: IABP setting t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#2 D/C Date t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#2 Type/Site t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#2 Type/Site t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2InsertDate t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2InsertDate t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Left IJ st: NotStopd id: INV Line#4InsertDate t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: NBP t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: PAP Mean t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP S/D t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [23:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Line Placement st: NotStopd id: Procedures t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sheath D/C st: NotStopd id: Respiratory Rate t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: INV#3 Cap Change t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#3 Tubing Change t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Cap Change t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#4 Tubing Change t0: [21:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: calprevflg t0: [23:30:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [23:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [23:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [23:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [23:30:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 4387903 hi: 8869 t0: [01:00:00 23/01/2014] tf: [11:00:00 27/01/2014] mn: Heparin Flush CVL (100 units/ml) pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [00:00:00 23/01/2014] el: 0 cg: CoWker cu: CCU v1: 98 n1: 98 rs: Manual st: NotStopd
id: Service Type t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: PA line cm Mark t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: IABP setting t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: NBP t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: PAP Mean t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP S/D t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Respiratory Rate t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: SpO2 t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 23/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 250.0ml t0: [00:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 23/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [00:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 130 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [00:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dopamine t0: [00:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: bath t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: bathed id: Service Type t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: PA line cm Mark t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Education Topic #1 t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Invasive Lines st: NotStopd id: Eye Care t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: IABP setting t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Activity t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: KneeImmobilizer/Loc t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: On v2: Right Knee st: NotStopd id: NBP t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Oral Care t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PAP Mean t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: PAP S/D t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU st: NotStopd id: Arterial BP t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Reason For Restraint t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: Side Rails t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Systolic Unloading t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: % st: NotStopd id: Temp. Site t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Back Care t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 rs: Manual st: NotStopd id: Braden Activity t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 23/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 250.0ml t0: [01:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 23/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [01:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [01:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dopamine t0: [01:00:00 23/01/2014] 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 + 25000Uhr Heparin t0: [00:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Heparin t0: [00:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [01:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Communication t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Communication t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Nodding st: NotStopd id: Riker-SAS Scale t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Cough Reflex t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Cough Reflex t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Dorsal PedPulse R/L t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Education Barrier t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Intub Site t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Response t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Heart Attack st: NotStopd id: Eye Opening t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: Eye Opening t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Eye Opening t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: Follows Commands t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Follows Commands t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: Follows Commands t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GCS Total t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GCS Total t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: GU Cath Insert Date t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Gag Reflex t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Gag Reflex t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Gag Reflex t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: INV Line#3 Type/Site t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Left IJ st: NotStopd id: INV Line#4 Zero/Cal t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV Line#4SiteAppear t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#5 Type/Site t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#5 Zero/Cal t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#5InsertDate t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV Line#5SiteAppear t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Firm Distended st: NotStopd id: Abdominal Assessment t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Firm Distended st: NotStopd id: INV#3 WaveformAppear t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#5 WaveformAppear t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LL Strength/Movement t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LLE Temp/Color t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Dusky st: NotStopd id: LLE Temp/Color t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Dusky st: NotStopd id: LLL Lung Sounds t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LLL Lung Sounds t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Level of Conscious t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Level of Conscious t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Angio Appearance #1 t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #1 t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Oozing st: NotStopd id: Motor Response t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Motor Response t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #1 t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Oral Cavity t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Orientation t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Orientation t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Location t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [22:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: INV#3 Dsg Change t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#5 Dsg Change t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Pupil Response R/L t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Response R/L t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Response R/L t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: RLE Temp/Color t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Dusky st: NotStopd id: RLE Temp/Color t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Dusky st: NotStopd id: RLE/LLE Sensation t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Intact v2: Impaired st: NotStopd id: RLL Lung Sounds t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RLL Lung Sounds t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: RUE/LUE Sensation t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Intact v2: Intact st: NotStopd id: RUL Lung Sounds t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Intubated/trach st: NotStopd id: Speech t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: INV#3 Cap Change t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#3 Tubing Change t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Cap Change t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#4 Tubing Change t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#5 Cap Change t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#5 Tubing Change t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Urine Color/Appear t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Bowel Sounds t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Service Type t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: PA line cm Mark t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: IABP setting t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Respiratory Rate t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: Systolic Unloading t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: % st: NotStopd id: Arterial BP #2 t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [00:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [01:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Temp. Site t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: calprevflg t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 23/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 250.0ml t0: [02:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 23/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [02:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [02:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4388127 hi: 8869 t0: [03:00:00 23/01/2014] tf: [02:00:00 24/01/2014] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 3 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Urine Out Foley t0: [02:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 20 vu: ml
id: NBP t0: [03:00:00 23/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd id: NBP Mean t0: [03:00:00 23/01/2014] el: 0 cg: -1 cu: CCU st: D/C'd
id: Less Restrict Meas. t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: PA line cm Mark t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Education Topic #1 t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Heart Rate t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: IABP setting t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: PAP S/D t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Reason For Restraint t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Side Rails t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Systolic Unloading t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: % st: NotStopd id: Arterial BP #2 t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Temp. Site t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: calprevflg t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [02:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 23/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 250.0ml t0: [03:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 23/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [03:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 450 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [03:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [03:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [03:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [03:00:00 23/01/2014] el: 0 cg: CoWker cu: CCU v1: 113 n1: 113 rs: Manual st: NotStopd
id: Art.pH t0: [03:18:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:18:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:18:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:18:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:18:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 90 n1: 90 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:18:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Hematocrit t0: [03:18:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 u1: % rs: Final st: NotStopd id: SaO2 t0: [03:18:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: IV Infusion In Total t0: [23:00:00 22/01/2014] el: 2 cg: 1663 cu: CCU pv: 23 cv: 1188.62 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 22/01/2014] el: 2 cg: 1663 cu: CCU pv: 23 cv: 1458.62 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 22/01/2014] el: 2 cg: 1663 cu: CCU pv: 145 cv: 145 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 22/01/2014] el: 2 cg: 1663 cu: CCU pv: 145 cv: 2013 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 22/01/2014] el: 2 cg: 1663 cu: CCU pv: -122 cv: -554.375 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 22/01/2014] el: 2 cg: 1663 cu: CCU pv: -122 cv: -568.18 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 22/01/2014] el: 2 cg: 1663 cu: CCU pv: -122 cv: -122 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 22/01/2014] el: 2 cg: 1663 cu: CCU pv: 145 cv: 2013 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 21.7391 n1: 21.7391 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Low Exhaled Min Vol t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 7.7 n1: 7.7 u1: L/min st: NotStopd id: PEEP Set t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 470 n1: 470 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:20:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: RSBI (<100) t0: [03:28:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 60 n1: 60 u1: units st: NotStopd id: RSBI (<200) t0: [03:28:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 60 n1: 60 u1: units st: NotStopd id: Spon RR (Mech.) t0: [03:28:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [03:28:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 0.3 n1: 0.3 u1: L st: NotStopd
id: High Insp. Pressure t0: [03:30:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:30:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Low Exhaled Min Vol t0: [03:30:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 3.5 n1: 3.5 st: NotStopd id: Mean Airway Pressure t0: [03:30:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:30:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 5.2 n1: 5.2 u1: L/min st: NotStopd id: PEEP Set t0: [03:30:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:30:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:30:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 u1: cmH2O st: NotStopd id: Pressure Support t0: [03:30:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [03:30:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Ve High t0: [03:30:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [03:30:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [03:30:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 290 n1: 290 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:30:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: Pressure Support st: NotStopd
id: CVP t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: PCWP t0: [20:00:00 22/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Swan SVO2 t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: % st: NotStopd id: Mixed Venous O2% Sat t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 rs: Manual st: NotStopd id: SaO2 t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % rs: Manual st: NotStopd
id: Cardiac Index t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 2.96482 n1: 2.96482 u1: ... st: NotStopd id: SVR t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 989.831 n1: 989.831 u1: ... st: NotStopd id: SVRI t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1972.97 n1: 1972.97 u1: ... st: NotStopd id: Hemoglobin t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 10.8 n1: 10.8 u1: gm/dl rs: Manual st: NotStopd id: C.O. (fick) t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 5.92702 n1: 5.92702 u1: L/min st: NotStopd
id: Service Type t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: PA line cm Mark t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: IABP setting t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: PAP S/D t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Respiratory Rate t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: BAEDP t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: SpO2 t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: % st: NotStopd id: Arterial BP #2 t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Temp. Site t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 38.0556 n1: 38.0556 u1: Deg. C st: NotStopd id: calprevflg t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 23/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 250.0ml t0: [04:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 23/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [04:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 400 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [04:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [04:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [03:05:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 11.8 n1: 11.8 rs: Final st: NotStopd id: CaO2 t0: [03:18:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 13.7862 n1: 13.7862 u1: ml/dl st: NotStopd id: DO2I t0: [03:18:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 414.4 n1: 414.4 u1: ml/m/m st: NotStopd id: WBC t0: [03:05:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 11.8 n1: 11.8 rs: Final st: NotStopd id: Hematocrit t0: [03:05:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 29.6 n1: 29.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:05:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 10.5 n1: 10.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:05:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 121 n1: 121 rs: Final st: NotStopd id: RBC t0: [03:05:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 3.09 n1: 3.09 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:05:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 11.8 n1: 11.8 rs: Final st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [04:00:00 23/01/2014] el: 1 ai: 115 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Service Type t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: % st: NotStopd id: Ectopy Frequency t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: PA line cm Mark t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rhythm t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP setting t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 142 n1: 142 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Precautions t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Systolic Unloading t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: % st: NotStopd id: Arterial BP #2 t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 148 n1: 148 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: calprevflg t0: [03:55:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Gastric Meds t0: [04:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: GT Flush t0: [04:00:00 23/01/2014] el: 1 ai: 304 cg: RN cu: CCU vo: 60 vu: ml
id: Fentanyl t0: [03:55:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [03:55:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [03:55:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [03:55:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [00:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [01:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [02:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [03:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [03:55:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [04:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [23:00:00 22/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: RSBI (<100) t0: [04:00:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 90 n1: 90 u1: units st: NotStopd id: High Insp. Pressure t0: [04:00:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 3.5 n1: 3.5 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 8 n1: 8 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:00:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 90 n1: 90 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 0.3 n1: 0.3 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 300 n1: 300 u1: ml/B st: NotStopd
id: Service Type t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: PA line cm Mark t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP setting t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP S/D t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: PCWP t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Arterial BP t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Systolic Unloading t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Arterial BP #2 t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: calprevflg t0: [04:10:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [04:10:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:10:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [04:10:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [04:10:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: BUN t0: [03:05:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Chloride t0: [03:05:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [03:05:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [03:05:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 149 n1: 149 rs: Final st: NotStopd id: Magnesium t0: [03:05:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Potassium t0: [03:05:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [03:05:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd id: BUN (6-20) t0: [03:05:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Carbon Dioxide t0: [03:05:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:05:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:05:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:05:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 149 n1: 149 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:05:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:05:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:05:00 23/01/2014] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:02:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: ml/cmH st: NotStopd id: High Insp. Pressure t0: [04:02:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:02:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Low Exhaled Min Vol t0: [04:02:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [04:02:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:02:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 8.5 n1: 8.5 u1: L/min st: NotStopd id: PEEP Set t0: [04:02:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:02:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:02:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:02:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:02:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:02:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [04:02:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 st: NotStopd id: Tidal Volume (Obser) t0: [04:02:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:02:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Waveform-Vent t0: [04:02:00 23/01/2014] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: PA line cm Mark t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP setting t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: PAP S/D t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: Arterial BP t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Arterial BP #2 t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: calprevflg t0: [04:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [04:00:00 23/01/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [04:30:00 23/01/2014] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml
id: Fentanyl t0: [04:30:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:30:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [04:30:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [04:30:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [05:00:00 23/01/2014] el: 0 cg: CoWker cu: CCU v1: 241 n1: 241 rs: Manual st: NotStopd
id: Service Type t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: PA line cm Mark t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: IABP setting t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [03:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Blood Cultured st: NotStopd id: Augmented Diastole t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Respiratory Rate t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: SpO2 t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Systolic Unloading t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: % st: NotStopd id: Arterial BP #2 t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Temp. Site t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 100.5 n1: 100.5 u1: Deg. F st: NotStopd id: Temperature F t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: calprevflg t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 23/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 0.5 vu: ml id: .9% Normal Saline 250.0ml t0: [05:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 23/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [05:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 175 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [05:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [05:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: CVP t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: PAP Mean t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP S/D t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: PCWP t0: [05:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Communication t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Cough Reflex t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: GU Cath Insert Date t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Gag Reflex t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Left IJ st: NotStopd id: INV Line#4 Zero/Cal t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV Line#4SiteAppear t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#5 Type/Site t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#5 Zero/Cal t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#5InsertDate t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV Line#5SiteAppear t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Firm Distended st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#5 WaveformAppear t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: KneeImmobilizer/Loc t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: On v2: Right Knee st: NotStopd id: LL Strength/Movement t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LLE Temp/Color t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Angio Appearance #2 t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Oozing st: NotStopd id: Motor Response t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Location t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#5 Dsg Change t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Pupil Response R/L t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: RLE Temp/Color t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Verbal v2: Withdraws st: NotStopd id: Restraint Location t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Speech t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Cap Change t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#4 Tubing Change t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#5 Cap Change t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#5 Tubing Change t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Therapeutic Bed t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Behavior t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: Fingerstick Glucose t0: [06:30:00 23/01/2014] el: 0 cg: CoWker cu: CCU v1: 262 n1: 262 rs: Manual st: NotStopd
id: Service Type t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Health Care Proxy t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: PA line cm Mark t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: IABP setting t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: PAP Mean t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: mmHg st: NotStopd id: PAP S/D t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: PAP S/D t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg v2: 12 n2: 12 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 23/01/2014] 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: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 23/01/2014] 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: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Respiratory Rate t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: BAEDP t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: SpO2 t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Systolic Unloading t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Arterial BP #2 t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: calprevflg t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 23/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 250.0ml t0: [06:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 23/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [06:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [06:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:30:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [06:30:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [06:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:30:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [05:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [06:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [06:30:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Position Change t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Alarms t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Temp. Site t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd
id: Service Type t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Doppler st: NotStopd id: Ectopy Frequency t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: PA line cm Mark t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: PAP Mean t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: mmHg st: NotStopd id: PAP S/D t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg v2: 13 n2: 13 u2: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [06:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Respiratory Rate t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: SpO2 t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Systolic Unloading t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Arterial BP #2 t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Temp. Site t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: calprevflg t0: [07:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [07:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [07:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [07:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [07:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 235 n1: 235 rs: Manual st: NotStopd
id: Service Type t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Alarms t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd
id: Compliance (40-60ml) t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 27.7778 n1: 27.7778 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 1:2.6 st: NotStopd id: Airway Size t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 5.8 n1: 5.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Pressure Support t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Tank B psi. t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 1400 n1: 1400 st: NotStopd id: Ve High t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 494 n1: 494 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 23/01/2014] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Diastolic Unloading t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Ectopy Frequency t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: IABP setting t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Arterial BP t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Assisted Systole t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Augmented Diastole t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Respiratory Rate t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: Systolic Unloading t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: % st: NotStopd id: Arterial BP #2 t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Temp. Site t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: BSA - English t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1.3061 n1: 1.3061 u1: m2 st: NotStopd id: BSA - Metric t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1.52352 n1: 1.52352 u1: m2 st: NotStopd id: Daily Weight t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 83.1 n1: 83.1 u1: kg st: NotStopd
id: CVP t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: mmHg st: NotStopd id: PA line cm Mark t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PAP Mean t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: PAP S/D t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: Fingerstick Glucose t0: [08:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 189 n1: 189 rs: Manual st: NotStopd
id: Code Status t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Precautions t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Insulin Guideline t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Off Guideline st: NotStopd
id: Fentanyl t0: [08:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [08:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [08:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: CVP t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Ectopy Frequency t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: PA line cm Mark t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: IABP setting t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: PAP Mean t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg st: NotStopd id: PAP S/D t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Assisted Systole t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Previous WeightF t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 83.1 n1: 83.1 u1: kg st: NotStopd id: Augmented Diastole t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg st: NotStopd id: Respiratory Rate t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: SpO2 t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Arterial BP #2 t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: calprevflg t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [09:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [09:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [09:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Riker-SAS Scale t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 23/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 23/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 23/01/2014] el: 1 ai: 190 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 250.0ml t0: [07:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml t0: [08:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml t0: [09:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 23/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 23/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 23/01/2014] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [08:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 23/01/2014] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Less Restrict Meas. t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: Follows Commands t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Gag Reflex t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Abdominal Assessment t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Level of Conscious t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Wet to Dry st: NotStopd id: Oral Cavity t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position Change t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Pupil Response R/L t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RU Strength/Movement t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Verbal v2: Withdraws st: NotStopd id: Restraint Location t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Speech t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Urine Out Foley t0: [09:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Fingerstick Glucose t0: [09:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 185 n1: 185 rs: Manual st: NotStopd
id: Insulin t0: [09:30:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Cardiac Index t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 3.26633 n1: 3.26633 u1: ... st: NotStopd id: SVR t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 910.769 n1: 910.769 u1: ... st: NotStopd id: SVRI t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1810.4 n1: 1810.4 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 rs: Manual st: NotStopd id: C.O. (fick) t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 6.54795 n1: 6.54795 u1: L/min st: NotStopd
pi: 4388895 hi: 8869 t0: [11:00:00 23/01/2014] tf: [10:00:00 24/01/2014] mn: Clopidogrel Bisulfate pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Ectopy Frequency t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: PA line cm Mark t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: IABP setting t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: PAP Mean t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg st: NotStopd id: PAP S/D t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Assisted Systole t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Previous WeightF t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 83.1 n1: 83.1 u1: kg st: NotStopd id: Augmented Diastole t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg st: NotStopd id: Respiratory Rate t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: BAEDP t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: SpO2 t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: % st: NotStopd id: Arterial BP #2 t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: calprevflg t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [09:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [10:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Off Guideline st: NotStopd id: Fingerstick Glucose t0: [10:30:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 108 n1: 108 rs: Manual st: NotStopd
id: Fentanyl t0: [10:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [10:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [10:00:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [10:30:00 23/01/2014] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: PA line v2: Left IJ st: NotStopd id: INV Line#4 Zero/Cal t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV Line#4SiteAppear t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#5 Type/Site t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#5 Zero/Cal t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#5InsertDate t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV Line#5SiteAppear t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#5 WaveformAppear t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 D/C Date t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: IV #2 Insert Date t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Oral Care t0: [09:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [10:00:00 23/01/2014] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 23/01/2014] el