This log is also available as text (212cc.txt) and as a (binary) annotation file (212cc.log).
Generated: Thursday, 23-Apr-2009 00:35:13 EDT
(All dates below are surrogates.)
id: Potassium t0: [14:03:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [14:03:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd
id: ETT Mark/Location t0: [15:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [15:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [15:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [15:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [15:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [15:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [15:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 11.7 n1: 11.7 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: PEEP Set t0: [15:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [15:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [15:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Ve High t0: [15:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [15:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [15:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [15:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 614 n1: 614 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [15:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [15:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [15:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [15:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 93 n2: 93 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Temp. Site t0: [15:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [15:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [15:00:00 07/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [15:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 07/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [15:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [15:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [15:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: CVP t0: [15:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 07/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Invasive Lines st: NotStopd id: Eye Opening t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GU Cath Insert Date t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: Activity t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 95 n2: 95 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [16:00:00 07/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Arterial BP Mean t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Position t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Supervised st: NotStopd id: Precautions t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Stool Management t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Untoward Effect t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Urine Color/Appear t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15.5 vu: ml id: Gastric Meds t0: [16:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 25 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [16:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: GT Flush t0: [16:00:00 07/12/2019] el: 2 ai: 168 cg: RN cu: CSRU vo: 25 vu: ml id: Tube Feeding t0: [16:00:00 07/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Stool Out Stool t0: [16:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [16:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 07/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [16:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [16:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 07/12/2019] el: 3 cg: RN cu: CSRU cv: 750 ac: 24 ap: none re: 0
id: Arterial BP t0: [17:00:00 07/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Arterial BP Mean t0: [17:00:00 07/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
pi: 4201049 hi: 8811 t0: [18:00:00 07/12/2019] tf: [17:00:00 08/12/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#2 D/C Date t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Skin Care t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: INV#2 Cap Change t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 38.8333 n1: 38.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 101.9 n1: 101.9 u1: Deg. F st: NotStopd id: Turn t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [17:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [17:00:00 07/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [17:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 07/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [17:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [17:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [17:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Invasive Lines st: NotStopd id: HOB t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Activity t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Supervised st: NotStopd id: Precautions t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Color/Consist t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [17:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Therapeutic Bed t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [18:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15.5 vu: ml id: Gastric Meds t0: [18:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 25 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [18:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: GT Flush t0: [18:00:00 07/12/2019] el: 2 ai: 168 cg: RN cu: CSRU vo: 25 vu: ml id: Tube Feeding t0: [18:00:00 07/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [18:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 07/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [18:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [18:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: INV Line#2 D/C Date t0: [19:00:00 07/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#2 Type/Site t0: [19:00:00 07/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#2 Zero/Cal t0: [19:00:00 07/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#2InsertDate t0: [19:00:00 07/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#2SiteAppear t0: [19:00:00 07/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#2 WaveformAppear t0: [19:00:00 07/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#2 Dsg Change t0: [19:00:00 07/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#2 Cap Change t0: [19:00:00 07/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#2 Tubing Change t0: [19:00:00 07/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
id: ImpSkin Character #1 t0: [20:00:00 07/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Impaired Skin Site#1 t0: [20:00:00 07/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: ABP Alarm (Lo/Hi) t0: [20:00:00 07/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Less Restrict Meas. t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 07/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GU Cath Insert Date t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Heart Rate t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: LLE Temp/Color t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Oral Cavity t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [20:00:00 07/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position Change t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Precautions t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 38.8333 n1: 38.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 101.9 n1: 101.9 u1: Deg. F st: NotStopd id: Untoward Effect t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Urine Color/Appear t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 07/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: TF Residual t0: [20:00:00 07/12/2019] el: 2 ai: 274 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 31 vu: ml id: Gastric Meds t0: [20:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [20:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 41.04 vu: ml id: GT Flush t0: [20:00:00 07/12/2019] el: 2 ai: 168 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [20:00:00 07/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [20:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 700 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 07/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 14 vu: ml
id: Esmolol t0: [20:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [20:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 07/12/2019] el: 3 cg: RN cu: CSRU cv: 365 ac: 24 ap: none re: 0
id: Cuff Pressure-Airway t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 13.1 n1: 13.1 u1: L/min st: NotStopd id: PEEP Set t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Pressure Support t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Tank A psi. t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:20:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: Drager st: NotStopd
id: Procedures t0: [20:45:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd
id: D5W 100.0ml t0: [20:45:00 07/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
id: Differential-Bands t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd
id: Service Type t0: [21:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [21:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Activity t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [21:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Skin Care t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [21:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [20:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [20:00:00 07/12/2019] el: 1 cg: RN cu: CSRU v1: Done
id: .9% Normal Saline 1000.0ml t0: [21:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [21:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [21:00:00 07/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [21:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 07/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [21:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [21:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 36 n1: 36 rs: Final st: NotStopd id: Calcium t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Magnesium t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd id: BUN (6-20) t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 36 n1: 36 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd
id: PT t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: INR t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: PTT t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 61.6 n1: 61.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: PT(11-13.5) t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: PTT(22-35) t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 61.6 n1: 61.6 rs: Final st: NotStopd
id: Glucose t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 119 n1: 119 rs: Final st: NotStopd id: Glucose (70-105) t0: [20:27:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 119 n1: 119 rs: Final st: NotStopd
pi: 4201585 hi: 8811 t0: [23:00:00 07/12/2019] tf: [22:00:00 07/12/2019] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4201613 hi: 8811 t0: [23:00:00 07/12/2019] tf: [22:00:00 08/12/2019] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [21:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Easily Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: LLE Temp/Color t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Mottled st: NotStopd id: NBP t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [21:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: PostTib. Pulses R/L t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable st: NotStopd id: Precautions t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Mottled st: NotStopd id: Reason For Restraint t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [22:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [22:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [22:00:00 07/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [22:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 07/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [22:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Heparin t0: [22:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4201675 hi: 8811 t0: [00:00:00 08/12/2019] tf: [23:00:00 08/12/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [23:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [23:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [23:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [23:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 50.0ml t0: [23:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [23:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [23:00:00 07/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [23:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 07/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [23:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [23:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 07/12/2019] el: 3 cg: RN cu: CSRU pv: 111.52 cv: 2295.23 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 07/12/2019] el: 3 cg: RN cu: CSRU pv: 171.52 cv: 4100.23 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 07/12/2019] el: 3 cg: RN cu: CSRU pv: 90 cv: 90 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 07/12/2019] el: 3 cg: RN cu: CSRU pv: 60 cv: 1440 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 07/12/2019] el: 3 cg: RN cu: CSRU pv: 90 cv: 3165 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 07/12/2019] el: 3 cg: RN cu: CSRU pv: 81.52 cv: 185.23 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 07/12/2019] el: 3 cg: RN cu: CSRU pv: 81.52 cv: 25266.4 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 07/12/2019] el: 3 cg: RN cu: CSRU pv: 81.52 cv: 81.52 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 07/12/2019] el: 3 cg: RN cu: CSRU pv: 90 cv: 3915 ac: 24 ap: none re: 0
id: ETT Mark/Location t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 13.3 n1: 13.3 u1: L/min st: NotStopd id: PEEP Set t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Pressure Support t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: 660 n1: 660 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [23:30:00 07/12/2019] el: 0 cg: RRts cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 08/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GU Cath Insert Date t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLE Temp/Color t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Mottled st: NotStopd id: LLL Lung Sounds t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [00:00:00 08/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Supervised st: NotStopd id: Precautions t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Mottled st: NotStopd id: RLL Lung Sounds t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Stool Management t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 38.6667 n1: 38.6667 u1: Deg. C st: NotStopd id: Therapeutic Bed t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Untoward Effect t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Urine Color/Appear t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 50.0ml t0: [00:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.5 vu: ml id: Gastric Meds t0: [00:00:00 08/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [00:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: GT Flush t0: [00:00:00 08/12/2019] el: 2 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [00:00:00 08/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 08/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [00:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [00:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [00:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [00:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [01:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [01:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [01:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [01:00:00 08/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 08/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [01:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 800 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [01:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [01:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: LLE Temp/Color t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Mottled st: NotStopd id: NBP t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Precautions t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Mottled st: NotStopd id: Reason For Restraint t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [02:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [02:00:00 08/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 08/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [02:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [02:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [02:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [03:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [03:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [03:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [03:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [03:00:00 08/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 08/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [03:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [03:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [03:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [03:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [03:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: RSBI (<100) t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 50.9804 n1: 50.9804 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 13.1 n1: 13.1 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 50.9804 n1: 50.9804 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 0.51 n1: 0.51 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 680 n1: 680 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: Drager st: NotStopd
id: Mean Airway Pressure t0: [04:05:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:05:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 14.2 n1: 14.2 u1: L/min st: NotStopd id: PEEP Set t0: [04:05:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [04:05:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:05:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [04:05:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tidal Volume (Spont) t0: [04:05:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 510 n1: 510 u1: ml/B st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 08/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GU Cath Insert Date t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Zero/Cal t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: LLE Temp/Color t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Pink st: NotStopd id: LLL Lung Sounds t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [04:00:00 08/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: RLE Temp/Color t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Mottled st: NotStopd id: RLL Lung Sounds t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 39.1111 n1: 39.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 102.4 n1: 102.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Excellent st: NotStopd id: Braden Score t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 50.0ml t0: [02:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [04:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [04:00:00 08/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 08/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [04:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [04:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [04:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Hematocrit t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 33.3 n1: 33.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 10.6 n1: 10.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 424 n1: 424 rs: Final st: NotStopd id: RBC t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.55 n1: 3.55 u1: /mic l rs: Final st: NotStopd
id: Service Type t0: [04:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [04:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [04:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [04:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [04:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [04:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [04:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [04:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [04:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [04:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Sputum Color/Consist t0: [04:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [04:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Esmolol t0: [04:30:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:30:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:30:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [04:30:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Mean Airway Pressure t0: [04:40:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:40:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 13.4 n1: 13.4 u1: L/min st: NotStopd id: Peak Insp. Pressure t0: [04:40:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Total) t0: [04:40:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Tidal Volume (Spont) t0: [04:40:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd
id: BUN t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 37 n1: 37 rs: Final st: NotStopd id: Chloride t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 118 n1: 118 rs: Final st: NotStopd id: Magnesium t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd id: BUN (6-20) t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 37 n1: 37 rs: Final st: NotStopd id: Carbon Dioxide t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 118 n1: 118 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [05:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [05:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [05:00:00 08/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 08/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [05:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [05:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [05:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [05:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4202041 hi: 8811 t0: [07:00:00 08/12/2019] tf: [06:00:00 09/12/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: LLE Temp/Color t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: NBP t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Precautions t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Cold v2: Mottled st: NotStopd id: Reason For Restraint t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thin st: NotStopd id: Sputum Source/Amt t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: calprevflg t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.5 vu: ml id: Gastric Meds t0: [06:00:00 08/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [06:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: GT Flush t0: [06:00:00 08/12/2019] el: 2 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [06:00:00 08/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 08/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [06:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [06:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [06:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 19.4 n1: 19.4 rs: Final st: NotStopd id: WBC t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 19.4 n1: 19.4 rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:00:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 19.4 n1: 19.4 rs: Final st: NotStopd
id: Service Type t0: [07:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [07:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [07:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [07:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [07:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Esmolol t0: [07:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [07:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [07:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: PainLevel Acceptable t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 08/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GU Cath Insert Date t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Heart Rate t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LLE Temp/Color t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Oral Cavity t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [08:00:00 08/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Position Change t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Precautions t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Mottled st: NotStopd id: RLL Lung Sounds t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Diaphoretic st: NotStopd id: SpO2 t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Color/Consist t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Brown st: NotStopd id: Stool Management t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 39 n1: 39 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 102.2 n1: 102.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 08/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: TF Residual t0: [08:00:00 08/12/2019] el: 2 ai: 274 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 33 vu: ml id: Gastric Meds t0: [08:00:00 08/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 110 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [08:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 41.04 vu: ml id: Tube Feeding t0: [08:00:00 08/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 08/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [08:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 180 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 14 vu: ml
id: Esmolol t0: [08:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [08:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [08:20:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:20:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:20:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:20:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [08:20:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:20:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:20:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:20:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [08:20:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [08:20:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:20:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 13.8 n1: 13.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:20:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:20:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:20:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:20:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Tank A psi. t0: [08:20:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:20:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [08:20:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:20:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:20:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [08:20:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 616 n1: 616 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:20:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:20:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [08:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: CoolingDevice/Status t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Cooling Blanket v2: On st: NotStopd id: Risk for Falls t0: [08:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [08:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Activity t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [08:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [08:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Oral Care t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Assistance Device t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Skin Care t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [08:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:30:00 08/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [09:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [09:00:00 08/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 08/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [09:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [08:30:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [09:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:30:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:30:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [08:30:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [09:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [09:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [09:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [09:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [09:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [09:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [09:30:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 400 vu: ml
id: Esmolol t0: [09:30:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:30:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:30:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [09:30:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4202489 hi: 8811 t0: [11:00:00 08/12/2019] tf: [12:00:00 08/12/2019] mn: Calcium Gluconate pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4202494 hi: 8811 t0: [11:00:00 08/12/2019] tf: [15:00:00 16/12/2019] mn: Heparin Flush CVL (100 units/ml) pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4202499 hi: 8811 t0: [14:00:00 08/12/2019] tf: [08:00:00 09/12/2019] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4202500 hi: 8811 t0: [11:00:00 08/12/2019] tf: [08:00:00 09/12/2019] mn: Esmolol pt: IV Piggyback st: Discontinued rt: IV fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: CoolingDevice/Status t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Cooling Blanket v2: On st: NotStopd id: Risk for Falls t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Heart Rate t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: LLE Temp/Color t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: NBP t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Diff to Palpate st: NotStopd id: Precautions t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Mottled st: NotStopd id: Reason For Restraint t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Sputum Source/Amt t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 39.0556 n1: 39.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 102.3 n1: 102.3 u1: Deg. F st: NotStopd id: calprevflg t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [10:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [10:00:00 08/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 08/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [10:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 180 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [10:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [10:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Procedures t0: [10:00:00 08/12/2019] el: 0 cg: RN cu: CSRU st: NotStopd
pi: 4202522 hi: 8811 t0: [12:00:00 08/12/2019] tf: [08:00:00 09/12/2019] mn: Propofol pt: Unit Dose st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [11:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [11:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [11:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [11:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [11:00:00 08/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 08/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [11:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [11:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [11:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Potassium t0: [10:06:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [10:06:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd
id: Service Type t0: [11:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [11:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [11:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [11:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [11:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [11:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Esmolol t0: [11:30:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:30:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:30:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [11:30:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Propofol io: N/A 50.0vl + 500mcgkgmin Propofol el: 200 cg: RN cu: CSRU am: 500 du: mcgkgmin rt: IV Drip
id: ETT Mark/Location t0: [12:00:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 18.7 n1: 18.7 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [12:00:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [12:00:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 725 n1: 725 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [13:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [12:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [13:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: CoolingDevice/Status t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Cooling Blanket v2: On st: NotStopd id: Daily Wake Up t0: [12:00:00 08/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [12:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [13:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [12:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [13:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [12:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [13:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Bilious st: NotStopd id: GU Cath Insert Date t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rate t0: [12:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [12:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [13:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Zero/Cal t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLE Temp/Color t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP t0: [12:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP t0: [13:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: NBP Mean t0: [12:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [12:00:00 08/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Position Change t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [12:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [13:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Mottled st: NotStopd id: RLL Lung Sounds t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Diaphoretic st: NotStopd id: SpO2 t0: [12:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [13:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 38.6111 n1: 38.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 101.5 n1: 101.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [12:30:00 08/12/2019] el: 2 ai: 274 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [12:30:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: N/A 50.0vl + 500mcgkgmin Propofol t0: [13:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 4.104 vu: ml id: Gastric Meds t0: [12:30:00 08/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [12:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml st: Stopped id: GT Flush t0: [12:30:00 08/12/2019] el: 2 ai: 168 cg: RN cu: CSRU vo: 150 vu: ml id: Tube Feeding t0: [12:00:00 08/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Tube Feeding t0: [13:00:00 08/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 08/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 08/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [12:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [13:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Esmolol t0: [12:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Fentanyl t0: [12:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:30:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [12:30:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [12:30:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [13:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [12:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [12:30:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [13:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [13:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [13:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [13:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [13:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [13:45:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:45:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [13:45:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [13:45:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: CoolingDevice/Status t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Cooling Blanket v2: On st: NotStopd id: Risk for Falls t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Family Communication t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Heart Rate t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: LLE Temp/Color t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: NBP t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Pink st: NotStopd id: Reason For Restraint t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 38.3889 n1: 38.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 101.1 n1: 101.1 u1: Deg. F st: NotStopd id: calprevflg t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [14:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10.26 vu: ml id: Tube Feeding t0: [14:00:00 08/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 08/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 4.375 vu: ml id: Urine Out Foley t0: [14:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 4.375 vu: ml
id: Fentanyl t0: [14:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [14:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [14:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [14:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [14:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [14:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [14:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:30:00 08/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 1.3 vu: ml st: Stopped id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:30:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 1.3 vu: ml st: Stopped
id: Fentanyl t0: [14:30:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Propofol t0: [14:30:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [14:30:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [15:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [15:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [15:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [15:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml id: Tube Feeding t0: [15:00:00 08/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [15:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Propofol t0: [15:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [15:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [16:30:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:30:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:30:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:30:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [16:30:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:30:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:30:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:30:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [16:30:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [16:30:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:30:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 17.7 n1: 17.7 u1: L/min st: NotStopd id: PEEP Set t0: [16:30:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:30:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:30:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:30:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [16:30:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [16:30:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [16:30:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 st: NotStopd id: Sensitivity-Vent t0: [16:30:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:30:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [16:30:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:30:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:30:00 08/12/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: PainLevel Acceptable t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [16:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: CoolingDevice/Status t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Cooling Blanket v2: On st: NotStopd id: Daily Wake Up t0: [16:00:00 08/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [16:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [16:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [16:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Family Communication t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [16:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [16:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLE Temp/Color t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP t0: [16:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: NBP Mean t0: [16:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Oral Care t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [16:00:00 08/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Position Change t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [16:30:00 08/12/2019] el: 0 cg: RN cu: CSRU st: NotStopd id: RLE Temp/Color t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Pink st: NotStopd id: RLL Lung Sounds t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Diaphoretic st: NotStopd id: SpO2 t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Sputum Color/Consist t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Stool Color/Consist t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Green v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 38.6111 n1: 38.6111 u1: Deg. C st: NotStopd id: Therapeutic Bed t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:30:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [16:00:00 08/12/2019] el: 2 ai: 274 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [16:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml id: Gastric Meds t0: [16:00:00 08/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [16:00:00 08/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [16:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Midazolam t0: [14:30:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped id: Midazolam t0: [16:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped id: Propofol t0: [16:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [16:30:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [16:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [16:30:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [17:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [17:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [17:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [17:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [17:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml id: Tube Feeding t0: [17:00:00 08/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [17:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Propofol t0: [17:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [17:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [17:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [17:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [17:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [17:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [17:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [17:45:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [17:45:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [17:45:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Heart Rate t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: LLE Temp/Color t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: NBP t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Position Change t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Pink st: NotStopd id: Reason For Restraint t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: calprevflg t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.75 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [18:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml id: Tube Feeding t0: [18:00:00 08/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Stool Out Stool t0: [18:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [18:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Propofol t0: [18:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [18:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 08/12/2019] el: 3 cg: RN cu: CSRU cv: 100 ac: 24 ap: none re: 0
id: Service Type t0: [19:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [19:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [19:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [19:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [19:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [19:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 38.1667 n1: 38.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [19:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 100.7 n1: 100.7 u1: Deg. F st: NotStopd id: calprevflg t0: [19:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [19:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml id: Tube Feeding t0: [19:00:00 08/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [19:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Propofol t0: [19:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [19:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 15.8 n1: 15.8 u1: L/min st: NotStopd id: PEEP Set t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Pressure Support t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 24 n1: 24 st: NotStopd id: Sensitivity-Vent t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [19:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: Drager st: NotStopd
pi: 4203576 hi: 8811 t0: [21:00:00 08/12/2019] tf: [20:00:00 09/12/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: CoolingDevice/Status t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Cooling Blanket v2: On st: NotStopd id: Daily Wake Up t0: [20:00:00 08/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GU Cath Insert Date t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: LLE Temp/Color t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Pink st: NotStopd id: LLL Lung Sounds t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [20:00:00 08/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position Change t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Pink st: NotStopd id: RLL Lung Sounds t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Sputum Color/Consist t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Green v2: Liquid st: NotStopd id: Stool Guaiac t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Stool Management t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 38.8333 n1: 38.8333 u1: Deg. C st: NotStopd id: Therapeutic Bed t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Untoward Effect t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Urine Color/Appear t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [20:00:00 08/12/2019] el: 2 ai: 274 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [20:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml id: Gastric Meds t0: [20:00:00 08/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 75 vu: ml id: GT Flush t0: [20:00:00 08/12/2019] el: 2 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [20:00:00 08/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [20:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Propofol t0: [20:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [20:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 08/12/2019] el: 3 cg: RN cu: CSRU cv: 565 ac: 24 ap: none re: 0
id: FiO2 Set t0: [20:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Mean Airway Pressure t0: [20:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 13.9 n1: 13.9 u1: L/min st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Resp Rate (Total) t0: [20:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 530 n1: 530 u1: ml/B st: NotStopd
id: Urine Out Foley t0: [20:20:00 08/12/2019] el: 1 cg: RN cu: CSRU vu: ml
id: Service Type t0: [21:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Heart Rate t0: [21:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [21:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Skin Care t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [21:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Back Care t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [20:00:00 08/12/2019] el: 1 cg: RN cu: CSRU v1: Done
id: .9% Normal Saline 1000.0ml t0: [21:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [21:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml id: Tube Feeding t0: [21:00:00 08/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [21:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Propofol t0: [21:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [21:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Cuff Pressure-Airway t0: [20:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [21:30:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 27cm v2: Lip st: NotStopd id: ETT Position Change t0: [20:00:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: Done st: NotStopd id: FiO2 Set t0: [21:30:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [21:30:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [21:30:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [21:30:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [21:30:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [21:30:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [21:30:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [21:30:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [21:30:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [21:30:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 10.4 n1: 10.4 u1: L/min st: NotStopd id: Apnea Time Interval t0: [21:30:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [21:30:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Resp Rate (Total) t0: [21:30:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Ve High t0: [21:30:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 24 n1: 24 st: NotStopd id: SpO2 t0: [21:30:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [21:30:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Mode t0: [21:30:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [21:30:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [22:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [22:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml id: Tube Feeding t0: [22:00:00 08/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [22:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 650 vu: ml
id: Propofol t0: [22:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [22:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [23:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [23:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Respiratory Rate t0: [23:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [23:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 08/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [23:00:00 08/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml id: Tube Feeding t0: [23:00:00 08/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [23:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 280 vu: ml
id: Propofol t0: [23:00:00 08/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [23:00:00 08/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 08/12/2019] el: 3 cg: RN cu: CSRU pv: 43.916 cv: 1721.36 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 08/12/2019] el: 3 cg: RN cu: CSRU pv: 103.916 cv: 3726.36 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 08/12/2019] el: 3 cg: RN cu: CSRU pv: 280 cv: 280 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 08/12/2019] el: 3 cg: RN cu: CSRU pv: 60 cv: 1440 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 08/12/2019] el: 3 cg: RN cu: CSRU pv: 280 cv: 4820 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 08/12/2019] el: 3 cg: RN cu: CSRU pv: -176.084 cv: -1193.64 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 08/12/2019] el: 3 cg: RN cu: CSRU pv: -176.084 cv: 24072.7 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 08/12/2019] el: 3 cg: RN cu: CSRU pv: -176.084 cv: -176.084 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 08/12/2019] el: 3 cg: RN cu: CSRU pv: 280 cv: 4920 ac: 24 ap: none re: 0
id: ETT Mark/Location t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 13.4 n1: 13.4 u1: L/min st: NotStopd id: PEEP Set t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Pressure Support t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 14 n1: 14 u1: . st: NotStopd id: Resp Rate (Total) t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Ve High t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 24 n1: 24 st: NotStopd id: Sensitivity-Vent t0: [21:30:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sensitivity-Vent t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Spont) t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: 510 n1: 510 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [23:12:00 08/12/2019] el: 0 cg: RRts cu: CSRU v1: Drager st: NotStopd
id: Calcium t0: [22:56:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Magnesium t0: [22:56:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous t0: [22:56:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [22:56:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [22:56:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [22:56:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: CoolingDevice/Status t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Cooling Blanket v2: On st: NotStopd id: Daily Wake Up t0: [00:00:00 09/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLE Temp/Color t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [00:00:00 09/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [20:00:00 08/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Supervised st: NotStopd id: Precautions t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Color/Consist t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Green v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 38.6667 n1: 38.6667 u1: Deg. C st: NotStopd id: Therapeutic Bed t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Untoward Effect t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Urine Color/Appear t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [00:00:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml id: Gastric Meds t0: [00:00:00 09/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [00:00:00 09/12/2019] el: 2 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [00:00:00 09/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [00:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: Propofol t0: [00:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [00:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [01:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [01:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [01:00:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 16.4 vu: ml id: Tube Feeding t0: [01:00:00 09/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [01:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Propofol t0: [01:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [01:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Potassium t0: [22:56:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [22:56:00 08/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [02:00:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml id: Tube Feeding t0: [02:00:00 09/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [02:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Propofol t0: [02:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [02:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 26.9565 n1: 26.9565 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 14.2 n1: 14.2 u1: L/min st: NotStopd id: PEEP Set t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 24 n1: 24 st: NotStopd id: Sensitivity-Vent t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 590 n1: 590 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Type t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [02:20:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [03:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [03:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [03:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [03:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Respiratory Rate t0: [03:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [03:00:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml id: Tube Feeding t0: [03:00:00 09/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [03:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: Propofol t0: [03:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [03:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Venous CO2(Calc) t0: [03:12:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 rs: Final st: NotStopd id: Venous PvCO2 t0: [03:12:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Venous PvO2 t0: [03:12:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 37 n1: 37 u1: mmHg rs: Final st: NotStopd id: Venous pH t0: [03:12:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 u1: pH rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 18.6 n1: 18.6 rs: Final st: NotStopd id: WBC t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 18.6 n1: 18.6 rs: Final st: NotStopd id: Hematocrit t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 31.7 n1: 31.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 10.3 n1: 10.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 468 n1: 468 rs: Final st: NotStopd id: RBC t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.43 n1: 3.43 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 18.6 n1: 18.6 rs: Final st: NotStopd
id: BUN t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 42 n1: 42 rs: Final st: NotStopd id: Calcium t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 124 n1: 124 rs: Final st: NotStopd id: Magnesium t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd id: BUN (6-20) t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 42 n1: 42 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 124 n1: 124 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd
id: PTT t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 65.8 n1: 65.8 rs: Final st: NotStopd id: PTT(22-35) t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 65.8 n1: 65.8 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: CoolingDevice/Status t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Cooling Blanket v2: On st: NotStopd id: Daily Wake Up t0: [04:00:00 09/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Zero/Cal t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLE Temp/Color t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [04:00:00 09/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Supervised st: NotStopd id: Precautions t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Radiologic Study t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Reason For Restraint t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Sputum Color/Consist t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Stool Color/Consist t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Green v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 39.0556 n1: 39.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 102.3 n1: 102.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [04:00:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml id: Gastric Meds t0: [04:00:00 09/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 40 vu: ml id: GT Flush t0: [04:00:00 09/12/2019] el: 2 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [04:00:00 09/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [04:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Propofol t0: [04:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [04:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 28.1818 n1: 28.1818 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 14.5 n1: 14.5 u1: L/min st: NotStopd id: PEEP Set t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 24 n1: 24 st: NotStopd id: Sensitivity-Vent t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [05:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [05:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [05:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [05:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [05:00:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 8.208 vu: ml id: Tube Feeding t0: [05:00:00 09/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [05:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Propofol t0: [05:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [05:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PT t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 20.9 n1: 20.9 rs: Final st: NotStopd id: INR t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 20.9 n1: 20.9 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [06:00:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 8.208 vu: ml id: Tube Feeding t0: [06:00:00 09/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Stool Out Stool t0: [06:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [06:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Propofol t0: [06:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [06:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 09/12/2019] el: 3 cg: RN cu: CSRU cv: 150 ac: 24 ap: none re: 0
id: Service Type t0: [06:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [06:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [06:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [06:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [06:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [06:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [06:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [06:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [06:30:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [06:30:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [07:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [07:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [07:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [07:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [07:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [07:00:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 12.312 vu: ml id: Tube Feeding t0: [07:00:00 09/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [07:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Propofol t0: [07:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [07:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4204359 hi: 8811 t0: [09:00:00 09/12/2019] tf: [08:00:00 10/12/2019] mn: Metoprolol pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4204387 hi: 8811 t0: [09:00:00 09/12/2019] tf: [19:00:00 09/12/2019] mn: Midazolam HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4204388 hi: 8811 t0: [09:00:00 09/12/2019] tf: [10:00:00 11/12/2019] mn: Fentanyl Citrate pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label pi: 4204390 hi: 8811 t0: [20:00:00 09/12/2019] tf: [19:00:00 12/12/2019] mn: Oxymetazoline HCl pt: Unit Dose st: Expired rt: NU fr: BID ds: 08, 20 dn: 2 dt: 3 di: Days xv: 36 xu: Hours pi: 4204391 hi: 8811 t0: [20:00:00 09/12/2019] tf: [22:00:00 18/12/2019] mn: Sodium Chloride Nasal pt: Unit Dose st: Discontinued via patient discharge rt: NU fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4204401 hi: 8811 t0: [14:00:00 09/12/2019] tf: [19:00:00 09/12/2019] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 29.5238 n1: 29.5238 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: Clear v2: Thin st: NotStopd id: Sputum Source/Amt t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 629 n1: 629 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [07:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:05:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: CVP t0: [08:05:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [07:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:05:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:05:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Runs Vtach st: NotStopd id: Ectopy Frequency t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [08:05:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [07:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [08:05:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:05:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rate t0: [08:05:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [08:05:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [07:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 94 n2: 94 u2: mmHg st: NotStopd id: NBP t0: [08:05:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 163 n1: 163 u1: mmHg v2: 95 n2: 95 u2: mmHg st: NotStopd id: NBP Mean t0: [07:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: NBP Mean t0: [08:05:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Precautions t0: [07:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:05:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:05:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:05:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:05:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:05:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:05:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:05:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [07:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [08:05:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 39.1111 n1: 39.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 102.4 n1: 102.4 u1: Deg. F st: NotStopd id: calprevflg t0: [07:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:05:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [07:45:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 12.3 vu: ml st: Stopped id: N/A 50.0vl + 500mcgkgmin Propofol t0: [08:05:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Propofol t0: [07:45:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped id: Propofol t0: [08:05:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [07:45:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [08:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [08:05:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Circulation/SkinInt t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: CoolingDevice/Status t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Cooling Blanket v2: On st: NotStopd id: Daily Wake Up t0: [08:00:00 09/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: Education Barrier t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLE Temp/Color t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: NBP t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Oral Care t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position Change t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: RLE Temp/Color t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Color/Consist t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Green v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: Therapeutic Bed t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Behavior t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: Gastric Meds t0: [08:00:00 09/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 80 vu: ml id: GT Flush t0: [08:00:00 09/12/2019] el: 2 ai: 168 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [08:00:00 09/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [08:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: PEEP Set t0: [09:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Pressure Support t0: [09:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: . st: NotStopd id: Ventilator Mode t0: [09:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd
id: Service Type t0: [09:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [09:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [09:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [08:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 2 mm st: NotStopd id: Respiratory Rate t0: [09:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [09:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [09:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 39.4444 n1: 39.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: Deg. F st: NotStopd id: calprevflg t0: [09:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [09:00:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 15.048 vu: ml id: Tube Feeding t0: [09:00:00 09/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [09:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Propofol t0: [09:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [09:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [08:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [08:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [08:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rhythm t0: [08:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [08:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [08:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [08:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [08:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd id: Respiratory Rate t0: [08:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [08:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [08:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [08:30:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [08:30:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [10:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped id: Heparin t0: [10:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [10:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [10:00:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml st: Stopped id: Tube Feeding t0: [10:00:00 09/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 09/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [10:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Fentanyl t0: [10:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Temp. Site t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 39.3333 n1: 39.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 102.8 n1: 102.8 u1: Deg. F st: NotStopd
id: Service Type t0: [10:40:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:40:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [10:40:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:40:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:40:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [10:40:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:40:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:40:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:40:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [10:40:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 168 n1: 168 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [10:40:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [10:40:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:40:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:40:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:40:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:40:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:40:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:40:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [10:40:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [10:40:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [10:40:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:40:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [10:40:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [10:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:47:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [10:47:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [10:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:47:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:47:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [10:47:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [10:47:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [10:47:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rate t0: [10:47:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [10:47:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [10:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP t0: [10:47:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Precautions t0: [10:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:47:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:47:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:47:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:47:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:47:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:47:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:47:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [10:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [10:47:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [10:45:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:47:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [10:45:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:47:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:45:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:47:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [10:45:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:47:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [11:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [11:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [11:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [11:00:00 09/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml
id: Fentanyl t0: [11:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 09/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5.54167 vu: ml id: Urine Out Foley t0: [11:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Less Restrict Meas. t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Position Change t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [10:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: ETT Mark/Location t0: [12:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [12:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 12.3 n1: 12.3 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Source/Amt t0: [12:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 561 n1: 561 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [11:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [11:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [11:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [11:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [11:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [11:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Frothy st: NotStopd id: Sputum Source/Amt t0: [11:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [11:30:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [11:30:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:30:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [11:30:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 09/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Family Communication t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Zero/Cal t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLE Temp/Color t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Mottled st: NotStopd id: LLL Lung Sounds t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: NBP t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position Change t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Mottled st: NotStopd id: RLL Lung Sounds t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Color/Consist t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 39.3333 n1: 39.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 102.8 n1: 102.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: TF Residual t0: [12:00:00 09/12/2019] el: 2 ai: 274 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: Gastric Meds t0: [12:00:00 09/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [12:00:00 09/12/2019] el: 2 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: Tube Feeding t0: [12:00:00 09/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 09/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [12:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [12:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [12:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [13:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: CoolingDevice/Status t0: [12:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Cooling Blanket v2: On st: NotStopd id: Risk for Falls t0: [13:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [13:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [13:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [13:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: Tube Feeding t0: [13:00:00 09/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 09/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [13:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [13:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [13:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 39.0556 n1: 39.0556 u1: Deg. C st: NotStopd id: calprevflg t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: Gastric Meds t0: [14:00:00 09/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [14:00:00 09/12/2019] el: 2 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [14:00:00 09/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 09/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [14:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [14:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [14:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Temperature F t0: [14:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 102.3 n1: 102.3 u1: Deg. F st: NotStopd
id: Service Type t0: [15:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [15:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: Tube Feeding t0: [15:00:00 09/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 09/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [15:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [15:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [15:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: CoolingDevice/Status t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Cooling Blanket v2: On st: NotStopd id: Daily Wake Up t0: [16:00:00 09/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Family Communication t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLE Temp/Color t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Mottled st: NotStopd id: LLL Lung Sounds t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: NBP t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Oral Care t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position Change t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Doppler st: NotStopd id: Assistance Device t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Mottled st: NotStopd id: RLL Lung Sounds t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Sputum Color/Consist t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Stool Color/Consist t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 39.1111 n1: 39.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 102.4 n1: 102.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [16:00:00 09/12/2019] el: 2 ai: 274 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: Gastric Meds t0: [16:00:00 09/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [16:00:00 09/12/2019] el: 2 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: Tube Feeding t0: [16:00:00 09/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 09/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [16:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [16:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Alarms t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: ETT Mark/Location t0: [16:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [16:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 12.8 n1: 12.8 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Pressure Support t0: [16:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: 530 n1: 530 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 09/12/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [17:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [17:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: Tube Feeding t0: [17:00:00 09/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 09/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [17:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [17:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Heparin t0: [16:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [17:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Activity t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: Tube Feeding t0: [18:00:00 09/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 09/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [18:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Fentanyl t0: [18:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [18:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4206372 hi: 8811 t0: [19:00:00 09/12/2019] tf: [22:00:00 18/12/2019] mn: Ampicillin-Sulbactam pt: IV Piggyback st: Discontinued via patient discharge rt: IV fr: Q8H ds: 19, 3, 11 dn: 3 di: Ongoing xv: 36 xu: Hours
id: INV#3 Dsg Change t0: [16:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 6 n2: 6 st: NotStopd
pi: 4206639 hi: 8811 t0: [20:00:00 09/12/2019] tf: [22:00:00 18/12/2019] mn: Metoprolol pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4206640 hi: 8811 t0: [20:00:00 09/12/2019] tf: [11:00:00 10/12/2019] mn: Ibuprofen Suspension pt: Unit Dose st: Discontinued rt: PO fr: Q8H:PRN di: Ongoing xv: 36 xu: Hours pi: 4206642 hi: 8811 t0: [20:00:00 09/12/2019] tf: [10:00:00 11/12/2019] mn: Midazolam HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4206656 hi: 8811 t0: [20:00:00 09/12/2019] tf: [19:00:00 10/12/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: ETT Mark/Location t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 11.2 n1: 11.2 u1: L/min st: NotStopd id: PEEP Set t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 25 n1: 25 st: NotStopd id: Peak Insp. Pressure t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Pressure Support t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 16 n1: 16 u1: . st: NotStopd id: Resp Rate (Total) t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 24 n1: 24 st: NotStopd id: Sensitivity-Vent t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 2.5 n1: 2.5 u1: cmH2O st: NotStopd id: SpO2 t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [19:30:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: CoolingDevice/Status t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Cooling Blanket v2: On st: NotStopd id: Daily Wake Up t0: [20:00:00 09/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: LLE Temp/Color t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Cold v2: Mottled st: NotStopd id: LLL Lung Sounds t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: NBP t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Oral Cavity t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [20:00:00 09/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position Change t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 6 n2: 6 st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Mottled st: NotStopd id: RLL Lung Sounds t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Color/Consist t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 39.7222 n1: 39.7222 u1: Deg. C st: NotStopd id: Therapeutic Bed t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Untoward Effect t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Urine Color/Appear t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 09/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: TF Residual t0: [20:00:00 09/12/2019] el: 2 ai: 274 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 32 vu: ml id: Gastric Meds t0: [20:00:00 09/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml id: Free Water Bolus t0: [20:00:00 09/12/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 100 vu: ml id: GT Flush t0: [20:00:00 09/12/2019] el: 2 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [20:00:00 09/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 09/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [20:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 14 vu: ml
id: Heparin t0: [20:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fentanyl t0: [20:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [21:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Position Change t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Ectopy Frequency t0: [21:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [21:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Heart Rate t0: [21:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Activity Tolerance t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [21:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [21:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [21:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Respiratory Rate t0: [21:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Skin Care t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [21:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: INV#3 Cap Change t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 6 n2: 6 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 6 n2: 6 st: NotStopd id: Back Care t0: [20:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [20:00:00 09/12/2019] el: 1 cg: RN cu: CSRU v1: Done
id: .9% Normal Saline 1000.0ml t0: [21:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: Tube Feeding t0: [21:00:00 09/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 09/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [21:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 800 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [21:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [21:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 32.6316 n1: 32.6316 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 1:2 st: NotStopd id: Airway Size t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 10.8 n1: 10.8 u1: L/min st: NotStopd id: PEEP Set t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 25 n1: 25 st: NotStopd id: Peak Insp. Pressure t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 24 n1: 24 st: NotStopd id: Sensitivity-Vent t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 2.5 n1: 2.5 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: White v2: Thick st: NotStopd id: Tidal Volume (Obser) t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Type t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [22:00:00 09/12/2019] el: 0 cg: RRts cu: CSRU v1: RAMP st: NotStopd
id: Magnesium t0: [21:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous t0: [21:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [21:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [21:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [21:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [21:00:00 09/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 39.8889 n1: 39.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 103.8 n1: 103.8 u1: Deg. F st: NotStopd id: calprevflg t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: Gastric Meds t0: [21:00:00 09/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [21:00:00 09/12/2019] el: 2 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [22:00:00 09/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 09/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [22:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [22:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [21:45:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 09/12/2019] el: 3 cg: RN cu: CSRU cv: 820 ac: 24 ap: none re: 0
id: Service Type t0: [23:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [23:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [23:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 09/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 14.5 vu: ml id: Tube Feeding t0: [23:00:00 09/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 09/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [23:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 09/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [23:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 09/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [23:00:00 09/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 09/12/2019] el: 3 cg: RN cu: CSRU pv: 34.5 cv: 1075.1 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 09/12/2019] el: 3 cg: RN cu: CSRU pv: 94.5 cv: 3335.1 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 09/12/2019] el: 3 cg: RN cu: CSRU pv: 25 cv: 25 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 09/12/2019] el: 3 cg: RN cu: CSRU pv: 60 cv: 1440 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 09/12/2019] el: 3 cg: RN cu: CSRU pv: 25 cv: 2545 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 09/12/2019] el: 3 cg: RN cu: CSRU pv: 69.5 cv: 640.098 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 09/12/2019] el: 3 cg: RN cu: CSRU pv: 69.5 cv: 24712.8 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 09/12/2019] el: 3 cg: RN cu: CSRU pv: 69.5 cv: 69.5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 09/12/2019] el: 3 cg: RN cu: CSRU pv: 25 cv: 2695 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: CoolingDevice/Status t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Cooling Blanket v2: Off st: NotStopd id: Daily Wake Up t0: [00:00:00 10/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLE Temp/Color t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Cold v2: Mottled st: NotStopd id: LLL Lung Sounds t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: NBP t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [00:00:00 10/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Precautions t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 6 n2: 6 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Mottled st: NotStopd id: RLL Lung Sounds t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Color/Consist t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Stool Management t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 6 n2: 6 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 39.2222 n1: 39.2222 u1: Deg. C st: NotStopd id: Therapeutic Bed t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 10/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 10/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 14.5 vu: ml id: Gastric Meds t0: [00:00:00 10/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: Free Water Bolus t0: [00:00:00 10/12/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 100 vu: ml id: Tube Feeding t0: [00:00:00 10/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 10/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [00:00:00 10/12/2019] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 10/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [00:00:00 10/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 10/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [00:00:00 10/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [01:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [01:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 10/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 10/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 14.5 vu: ml id: Tube Feeding t0: [01:00:00 10/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 10/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [01:00:00 10/12/2019] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 10/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [01:00:00 10/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 10/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:00:00 10/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 39.4444 n1: 39.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: Deg. F st: NotStopd id: calprevflg t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 10/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 10/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 14.5 vu: ml id: Tube Feeding t0: [02:00:00 10/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 10/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [02:00:00 10/12/2019] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 10/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [02:00:00 10/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 10/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [02:00:00 10/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [03:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [03:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 10/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 10/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 14.5 vu: ml id: Tube Feeding t0: [03:00:00 10/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 10/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [03:00:00 10/12/2019] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 10/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [03:00:00 10/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 10/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [03:00:00 10/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Radiologic Study t0: [03:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd
id: Compliance (40-60ml) t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 36.4706 n1: 36.4706 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 1:2.5 st: NotStopd id: Airway Size t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 11.1 n1: 11.1 u1: L/min st: NotStopd id: PEEP Set t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 25 n1: 25 st: NotStopd id: Peak Insp. Pressure t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 24 n1: 24 st: NotStopd id: Sensitivity-Vent t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 610 n1: 610 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:35:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [22:00:00 09/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 10/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Zero/Cal t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLE Temp/Color t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Mottled st: NotStopd id: LLL Lung Sounds t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: NBP t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [04:00:00 10/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Precautions t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 6 n2: 6 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Pupil Response R/L t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Mottled st: NotStopd id: RLL Lung Sounds t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [00:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Flushed st: NotStopd id: Skin Color t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Flushed st: NotStopd id: Skin Integrity t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Color/Consist t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 6 n2: 6 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 39.4444 n1: 39.4444 u1: Deg. C st: NotStopd id: Therapeutic Bed t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: calprevflg t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [04:00:00 10/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 10/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 10/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 14.5 vu: ml id: Gastric Meds t0: [04:00:00 10/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 50 vu: ml id: Free Water Bolus t0: [04:00:00 10/12/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 100 vu: ml id: Tube Feeding t0: [04:00:00 10/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 10/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [04:00:00 10/12/2019] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 10/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [04:00:00 10/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 10/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [04:00:00 10/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 16.9 n1: 16.9 rs: Final st: NotStopd id: WBC t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 16.9 n1: 16.9 rs: Final st: NotStopd id: Hematocrit t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 33.6 n1: 33.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 10.4 n1: 10.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 518 n1: 518 rs: Final st: NotStopd id: RBC t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.55 n1: 3.55 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 16.9 n1: 16.9 rs: Final st: NotStopd
id: RSBI (<100) t0: [05:00:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 66.6667 n1: 66.6667 u1: units st: NotStopd id: RSBI (<200) t0: [05:00:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 66.6667 n1: 66.6667 u1: units st: NotStopd id: Spon RR (Mech.) t0: [05:00:00 10/12/2019] el: 0 cg: RRts cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd
id: Service Type t0: [05:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [05:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 10/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 10/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 14.5 vu: ml id: Tube Feeding t0: [05:00:00 10/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 10/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [05:00:00 10/12/2019] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 10/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [05:00:00 10/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 10/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [05:00:00 10/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 55 n1: 55 rs: Final st: NotStopd id: Calcium t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd id: Magnesium t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: BUN (6-20) t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 55 n1: 55 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:05:00 10/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 39.6667 n1: 39.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 103.4 n1: 103.4 u1: Deg. F st: NotStopd id: calprevflg t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 10/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 10/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 14.5 vu: ml id: Tube Feeding t0: [06:00:00 10/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 10/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [06:00:00 10/12/2019] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 10/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [06:00:00 10/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 10/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4207945 hi: 8811 t0: [08:00:00 10/12/2019] tf: [11:00:00 10/12/2019] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml D5W Continuous at 125 ml/hr for 2000 ml ir: 125 it: C ss: N dt: 16 di: Hours xu: Enter on Label
id: Service Type t0: [07:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [07:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [07:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 10/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 10/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Tube Feeding t0: [07:00:00 10/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 10/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [07:00:00 10/12/2019] el: 1 cg: RN cu: CSRU vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 10/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [07:00:00 10/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 10/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [05:30:00 10/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:00:00 10/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [07:00:00 10/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 10/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Heart Rate t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LLE Temp/Color t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Mottled st: NotStopd id: LLL Lung Sounds t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: NBP t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Oral Cavity t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [08:00:00 10/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position Change t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 6 n2: 6 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Mottled st: NotStopd id: RLL Lung Sounds t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Flushed st: NotStopd id: Skin Integrity t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Color/Consist t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 6 n2: 6 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 38.8333 n1: 38.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 101.9 n1: 101.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 10/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotS