This log is also available as text (215ac.txt) and as a (binary) annotation file (215ac.log).
Generated: Thursday, 23-Apr-2009 00:35:21 EDT
(All dates below are surrogates.)
id: SAPS-I t0: [00:00:00 04/06/2017] el: 0 cg: LCP cu: LCP at MIT n1: 11
id: Propofol io: N/A 50.0vl + 500mcgkgmin Propofol el: 100 cg: RN cu: CSRU am: 500 du: mcgkgmin rt: IV Drip id: Nitroprusside io: D5W 250.0ml + 50mcgkgmin Nitroprusside el: 100 cg: RN cu: CSRU am: 50 du: mcgkgmin rt: IV Drip
pi: 1282875 hi: 12801 t0: [10:00:00 04/06/2017] tf: [13:00:00 26/06/2017] mn: Prednisone pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: QD ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 1282876 hi: 12801 t0: [10:00:00 04/06/2017] tf: [13:00:00 26/06/2017] mn: Prednisone pt: Unit Dose st: Discontinued rt: PO fr: QD ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 1282877 hi: 12801 t0: [06:00:00 04/06/2017] tf: [09:00:00 15/06/2017] mn: Tacrolimus pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: QAM ds: 6 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 1282878 hi: 12801 t0: [22:00:00 04/06/2017] tf: [09:00:00 15/06/2017] mn: Tacrolimus pt: Unit Dose st: Discontinued rt: PO fr: QPM ds: 18 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 1282879 hi: 12801 t0: [10:00:00 04/06/2017] tf: [05:00:00 04/06/2017] mn: Diltiazem pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 10, 22 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 1282880 hi: 12801 t0: [04:00:00 04/06/2017] tf: [05:00:00 04/06/2017] mn: Nitroprusside Sodium pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: FiO2 Set t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: Minute Volume(Obser) t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 12.6 n1: 12.6 u1: L/min st: NotStopd id: Resp Rate (Spont) t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tidal Volume (Obser) t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 806 n1: 806 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 800 n1: 800 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Compliance (40-60ml) t0: [03:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: ml/cmH st: NotStopd id: I:E Ratio t0: [03:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1:2 st: NotStopd id: Inspired Gas Temp t0: [03:10:00 04/06/2017] el: 0 cg: RN cu: CSRU u1: Deg. C st: NotStopd id: Mean Airway Pressure t0: [03:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: PEEP Set t0: [03:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [03:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Sensitivity-Vent t0: [03:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd
id: HI/Minute/Vol t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 id: High Insp. Pressure t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Low Exhaled Min Vol t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 st: NotStopd id: Apnea Time Interval t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Plateau-Off t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Yes st: NotStopd id: Sputum Color/Consist t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd
id: ETT Mark/Location t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd
id: Service Type t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [03:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [03:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [03:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 197 n1: 197 u1: mmHg v2: 91 n2: 91 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg st: NotStopd id: Precautions t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [03:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 34.8333 n1: 34.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 94.7 n1: 94.7 u1: Deg. F st: NotStopd id: calprevflg t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley el: 1 t0: [03:00:00 04/06/2017] tf: [19:54:00 26/06/2017] cu: CSRU dt: 32694
id: Urine Out Foley t0: [03:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: BSA t0: [03:48:00 04/06/2017] el: 1033 cg: -1 cu: CSRU v1: 2.45464 n1: 2.45464 u1: m2 id: Admit Wt t0: [03:48:00 04/06/2017] el: 1032 cg: -1 cu: CSRU v1: 115 n1: 115 u1: kg id: Allergy 1 t0: [03:48:00 04/06/2017] el: 1020 cg: -1 cu: CSRU v1: Penicillins id: Diagnosis/op t0: [03:48:00 04/06/2017] el: 1023 cg: -1 cu: CSRU v1: HEAD BLEED id: Service t0: [03:48:00 04/06/2017] el: 1026 cg: -1 cu: CSRU v1: NSU id: Admit Ht t0: [03:48:00 04/06/2017] el: 1034 cg: -1 cu: CSRU v1: 72 n1: 72 u1: inches id: Readmission t0: [03:48:00 04/06/2017] el: 1014 cg: -1 cu: CSRU id: Marital Status t0: [03:48:00 04/06/2017] el: 1006 cg: -1 cu: CSRU v1: S id: Religion t0: [03:48:00 04/06/2017] el: 1000 cg: -1 cu: CSRU v1: OTR id: Allergy 2 t0: [03:48:00 04/06/2017] el: 1021 cg: -1 cu: CSRU id: Ext t0: [03:48:00 04/06/2017] el: 1010 cg: -1 cu: CSRU id: Allergy 3 t0: [03:48:00 04/06/2017] el: 1022 cg: -1 cu: CSRU
id: Code Status t0: [03:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: INV Line#1 Type/Site t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Precautions t0: [03:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd
id: Propofol el: 1 t0: [03:45:00 04/06/2017] tf: [04:30:00 04/06/2017] cu: CSRU dt: 45 id: Nitroprusside el: 1 t0: [03:45:00 04/06/2017] tf: [19:00:00 04/06/2017] cu: CSRU dt: 915
id: Propofol t0: [03:45:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Nitroprusside t0: [03:45:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 1282886 hi: 12801 t0: [05:00:00 04/06/2017] tf: [10:00:00 10/06/2017] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q12H ds: 5, 17 dn: 2 dt: 76 di: Hours xv: 36 xu: Hours
id: Art.pH t0: [04:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Lactic Acid t0: [04:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 90 n1: 90 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [04:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: SaO2 t0: [04:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Ionized Calcium t0: [04:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [04:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Ectopy Frequency t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [04:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [04:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [04:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [04:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [04:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [04:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd
id: Propofol t0: [04:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [04:30:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped id: Nitroprusside t0: [04:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [04:30:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: N/A 50.0vl + 500mcgkgmin Propofol el: 1 t0: [04:00:00 04/06/2017] tf: [04:30:00 04/06/2017] cu: CSRU dt: 30 id: D5W 250.0ml + 100mcgkgmin Nitroprusside el: 1 t0: [04:00:00 04/06/2017] tf: [09:00:00 05/06/2017] cu: CSRU dt: 1740
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [03:15:00 04/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [03:45:00 04/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: N/A 50.0vl + 500mcgkgmin Propofol t0: [04:00:00 04/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 4.275 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [04:30:00 04/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 8.55 vu: ml st: Stopped id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [03:15:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [03:45:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [04:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 21.375 vu: ml
id: Nitroprusside io: D5W 500.0ml + 100mcgkgmin Nitroprusside el: 101 cg: RN cu: CSRU am: 100 du: mcgkgmin rt: IV Drip
io: .9% Normal Saline 1000.0ml el: 1 cg: RN cu: CSRU ra: 100 ru: ml/hr
pi: 1282925 hi: 12801 t0: [06:00:00 04/06/2017] tf: [05:00:00 05/06/2017] mn: Nitroprusside Sodium pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 1282929 hi: 12801 t0: [10:00:00 04/06/2017] tf: [10:00:00 20/06/2017] mn: Famotidine pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 10, 22 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 1282930 hi: 12801 t0: [06:00:00 04/06/2017] tf: [12:00:00 04/06/2017] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 1282944 hi: 12801 t0: [06:00:00 04/06/2017] tf: [05:00:00 05/06/2017] mn: Potassium Chloride pt: Unit Dose st: Expired rt: NG fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 1282945 hi: 12801 t0: [10:00:00 04/06/2017] tf: [06:00:00 04/06/2017] mn: Diltiazem pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 10, 22 dn: 2 di: Ongoing xv: 36 xu: Hours
id: WBC (4-11,000) t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 19.4 n1: 19.4 rs: Final st: NotStopd id: CaO2 t0: [04:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 16.1687 n1: 16.1687 u1: ml/dl st: NotStopd id: WBC t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 19.4 n1: 19.4 rs: Final st: NotStopd id: Hematocrit t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 37.4 n1: 37.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12.1 n1: 12.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 274 n1: 274 rs: Final st: NotStopd id: RBC t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.43 n1: 4.43 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 19.4 n1: 19.4 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Opening t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: HOB t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 15 degrees st: NotStopd id: Heart Rate t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Drainage t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Oral Cavity t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [05:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 57 vu: ml id: Urine Out Foley t0: [05:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Nitroprusside t0: [05:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Eye Opening t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: Level of Conscious t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Neuro Drain Drainage t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Orientation t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Verbal Response t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd
id: Service Type t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Health Care Proxy t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Arterial BP t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroprusside t0: [05:05:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [05:10:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 rs: Final st: NotStopd id: Calcium t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Magnesium t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Sodium t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:23:00 04/06/2017] 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: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd
id: RSBI Not Completed t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: ICP Instability st: NotStopd id: HI/Minute/Vol t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 id: ETT Mark/Location t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 13.8 n1: 13.8 u1: L/min st: NotStopd id: PEEP Set t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Plateau-Off t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Yes st: NotStopd id: Pressure Support t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 680 n1: 680 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Health Care Proxy t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Arterial BP t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Precautions t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroprusside t0: [05:34:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd
id: ICP t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: ICP t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: ICP t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: ICP t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CPP t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: CPP t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CPP t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CPP t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd
pi: 1282980 hi: 12801 t0: [10:00:00 04/06/2017] tf: [13:00:00 04/06/2017] mn: Diltiazem pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 10, 22 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Communication t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Communication t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Nodding st: NotStopd id: Diet Type t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Follows Commands t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: Follows Commands t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: Heart Rate t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Inc Closure/Appear#1 t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LL Strength/Movement t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LL Strength/Movement t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Level of Conscious t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Neuro Symptoms t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Neuro Symptoms t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Pain Location t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Response R/L t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Response R/L t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RL Strength/Movement t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RL Strength/Movement t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RU Strength/Movement t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RU Strength/Movement t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Responds to Stimuli t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Responds to Stimuli t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Speech t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Speech t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Spontaneous Movement t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd id: Urine Source t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd
id: D5W 100.0ml el: 1 t0: [06:00:00 04/06/2017] tf: [19:54:00 26/06/2017] cu: CSRU dt: 32514 id: .9% Normal Saline 1000.0ml el: 1 t0: [06:00:00 04/06/2017] tf: [08:00:00 07/06/2017] cu: CSRU dt: 4440 id: Cerebral Drain L Ventricular Drain el: 1 t0: [06:00:00 04/06/2017] tf: [06:00:00 13/06/2017] cu: CSRU dt: 12960
id: D5W 100.0ml t0: [06:00:00 04/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [06:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 76.2375 vu: ml id: Urine Out Foley t0: [06:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Cerebral Drain L Ventricular Drain t0: [06:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Nitroprusside t0: [06:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Gastric Meds el: 1 t0: [06:00:00 04/06/2017] tf: [19:54:00 26/06/2017] cu: CSRU dt: 32514
id: Gastric Meds t0: [06:00:00 04/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 180 vu: ml
id: Less Restrict Meas. t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Position Change t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd
id: Nitroprusside io: D5W 250.0ml + 100mcgkgmin Nitroprusside el: 102 cg: RN cu: CSRU am: 100 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 100mcgkgmin Nitroprusside el: 1 cg: RN cu: CSRU ra: 42.75 ru: ml/hr
id: Art.pH t0: [07:09:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: CaO2 t0: [07:09:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 16.2307 n1: 16.2307 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [07:09:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [07:09:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [07:09:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 38 n1: 38 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [07:09:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [07:09:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: SaO2 t0: [07:09:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Service Type t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd
id: Nitroprusside t0: [07:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Pain Present t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Nodding st: NotStopd id: Riker-SAS Scale t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Health Care Proxy t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: HOB t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Inc Closure/Appear#1 t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LLL Lung Sounds t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CPP t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: Gastric Meds t0: [08:00:00 04/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [08:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 128.25 vu: ml id: Urine Out Foley t0: [08:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: Cerebral Drain L Ventricular Drain t0: [08:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 19 vu: ml
id: Nitroprusside t0: [08:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Nodding st: NotStopd id: Diet Type t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: Heart Rate t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: LL Strength/Movement t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LL Strength/Movement t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Responds to Stimuli t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [09:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 42.75 vu: ml id: Urine Out Foley t0: [09:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Nitroprusside t0: [09:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: HI/Minute/Vol t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 id: ETT Mark/Location t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 11.4 n1: 11.4 u1: L/min st: NotStopd id: PEEP Set t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Plateau-Off t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Yes st: NotStopd id: Pressure Support t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 478 n1: 478 u1: ml/B st: NotStopd id: Ventilator Mode t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Pain Present t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Nodding st: NotStopd id: Riker-SAS Scale t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Diet Type t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: Heart Rate t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Incision/Wound #1 t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Reason For Restraint t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Responds to Stimuli t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 54 n1: 54 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [10:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 42.75 vu: ml id: Urine Out Foley t0: [10:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 38 vu: ml
id: Nitroprusside t0: [10:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 39 n1: 39 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 106 n1: 106 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd
id: CaO2 t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 16.2183 n1: 16.2183 u1: ml/dl st: NotStopd id: Lactic Acid t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Potassium t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd id: Ionized Calcium t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.15 n1: 1.15 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: SaO2 t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 u1: % rs: Final st: NotStopd id: Sodium (135-148) t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd
id: HI/Minute/Vol t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 id: ETT Mark/Location t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 10.1 n1: 10.1 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Plateau-Off t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Yes st: NotStopd id: Pressure Support t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Nodding st: NotStopd id: Diet Type t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: HOB t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Activity t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LL Strength/Movement t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Responds to Stimuli t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Therapeutic Bed t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 54 n1: 54 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [11:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 42.75 vu: ml id: Urine Out Foley t0: [11:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 39 vu: ml id: Cerebral Drain L Ventricular Drain t0: [10:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 28 vu: ml
id: Nitroprusside t0: [11:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [11:40:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Airway Size t0: [11:40:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:40:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [11:40:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: PEEP Set t0: [11:40:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Pressure Support t0: [11:40:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: SpO2 t0: [11:40:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Ventilator Type t0: [11:40:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
pi: 1283576 hi: 12801 t0: [13:00:00 04/06/2017] tf: [12:00:00 05/06/2017] mn: Phenytoin pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 1283577 hi: 12801 t0: [13:00:00 04/06/2017] tf: [13:00:00 04/06/2017] mn: Insulin pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: Less Restrict Meas. t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Pain Present t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Mouthing Words st: NotStopd id: Riker-SAS Scale t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Health Care Proxy t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: Heart Rate t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Inc Closure/Appear#1 t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Precautions t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [12:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 42.75 vu: ml id: Urine Out Foley t0: [12:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: Cerebral Drain L Ventricular Drain t0: [12:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 22 vu: ml
id: Nitroprusside t0: [12:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [12:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: CaO2 t0: [12:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 15.7979 n1: 15.7979 u1: ml/dl st: NotStopd id: Arterial PaO2 t0: [12:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 75 n1: 75 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: SaO2 t0: [12:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: Arterial Base Excess t0: [12:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: RSBI Not Completed t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: High Insp. Pressure t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: High Resp. Rate t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: I:E Ratio t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Inspired Gas Temp t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Low Exhaled Min Vol t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Mean Airway Pressure t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Minute Volume(Obser) t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: PEEP Set t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Apnea Time Interval t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Peak Insp. Pressure t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Plateau Pressure t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Plateau-Off t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Pressure Support t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Resp Rate (Spont) t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Resp Rate (Total) t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Respiratory Rate Set t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Sensitivity-Vent t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tidal Volume (Obser) t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tidal Volume (Set) t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tidal Volume (Spont) t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Ventilator Mode t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Ventilator Type t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Waveform-Vent t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd
pi: 1283634 hi: 12801 t0: [14:00:00 04/06/2017] tf: [23:00:00 09/06/2017] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [13:02:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: CaO2 t0: [13:02:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 15.9911 n1: 15.9911 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [13:02:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [13:02:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [13:02:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [13:02:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 85 n1: 85 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [13:02:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: SaO2 t0: [13:02:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Service Type t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP Mean t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroprusside t0: [13:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Communication t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Nodding st: NotStopd id: Diet Type t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Eye Opening t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: HOB t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: ICP t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Activity t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LL Strength/Movement t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Pupil Response R/L t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Spontaneous Movement t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Therapeutic Bed t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: CPP t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [13:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 42.75 vu: ml id: Urine Out Foley t0: [13:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: ETT Mark/Location t0: [13:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [13:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [13:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [13:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [13:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: O2 Delivery Device t0: [13:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [13:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: lpm st: NotStopd id: SpO2 t0: [13:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd
id: Labetolol io: .9% Normal Saline 100.0ml + 100mgmin Labetolol el: 100 cg: RN cu: CSRU am: 100 du: mgmin rt: IV Drip
io: .9% Normal Saline 100.0ml + 100mgmin Labetolol el: 1 cg: RN cu: CSRU ru: ml/hr
pi: 1283724 hi: 12801 t0: [15:00:00 04/06/2017] tf: [09:00:00 05/06/2017] mn: Labetalol HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: Less Restrict Meas. t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Pain Present t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Diet Type t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: Heart Rate t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: ICP t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Incision/Wound #1 t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 179 n1: 179 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 166 n1: 166 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Pain Location t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Responds to Stimuli t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: CPP t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [14:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 44.175 vu: ml id: Urine Out Foley t0: [14:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: Cerebral Drain L Ventricular Drain t0: [14:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 23 vu: ml
id: Nitroprusside t0: [13:45:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3.4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [14:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3.6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [14:00:00 04/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml
id: Service Type t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: Heart Rate t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: LU Strength/Movement t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 162 n1: 162 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RU Strength/Movement t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Responds to Stimuli t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Speech t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Speech t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Speech t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [15:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 54.8625 vu: ml id: Urine Out Foley t0: [15:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Labetolol el: 1 t0: [14:00:00 04/06/2017] tf: [19:54:00 26/06/2017] cu: CSRU dt: 32034
id: Labetolol t0: [14:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 du: mgmin so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Nitroprusside t0: [14:30:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [14:45:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [15:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Pain Present t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Health Care Proxy t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: HOB t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: ICP t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Inc Closure/Appear#1 t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LLL Lung Sounds t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Speech t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: CPP t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [16:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 54.9 vu: ml id: Urine Out Foley t0: [16:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: Cerebral Drain L Ventricular Drain t0: [16:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 23 vu: ml
id: Nitroprusside t0: [15:15:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [16:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: CaO2 t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 16.2586 n1: 16.2586 u1: ml/dl st: NotStopd id: Glucose t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 150 n1: 150 rs: Final st: NotStopd id: Sodium t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 36 n1: 36 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 119 n1: 119 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 150 n1: 150 rs: Final st: NotStopd id: SaO2 t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 u1: % rs: Final st: NotStopd id: Sodium (135-148) t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd
id: Service Type t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: Heart Rate t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: LU Strength/Movement t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RU Strength/Movement t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Responds to Stimuli t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [17:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 59.85 vu: ml id: Urine Out Foley t0: [17:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 43 vu: ml
id: Nitroprusside t0: [17:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Pain Present t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Diet Type t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: ETT Mark/Location t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Follows Commands t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: Heart Rate t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Airway Size t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Incision/Wound #1 t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LLL Lung Sounds t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: lpm st: NotStopd id: Orientation t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Responds to Stimuli t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: CPP t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [18:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 59.85 vu: ml id: Urine Out Foley t0: [18:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Cerebral Drain L Ventricular Drain t0: [18:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 22 vu: ml
id: Nitroprusside t0: [18:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: GI#1 Intub Site t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd
id: Gastric Meds t0: [18:00:00 04/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 160 vu: ml
id: Labetolol io: .9% Normal Saline 200.0ml + 200mgmin Labetolol el: 102 cg: RN cu: CSRU am: 200 du: mgmin rt: IV Drip
id: ETT Mark/Location t0: [19:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Airway Size t0: [19:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Airway Type t0: [19:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd
io: .9% Normal Saline 200.0ml + 200mgmin Labetolol el: 1 cg: RN cu: CSRU ra: 30 ru: ml/hr
id: D5W 100.0ml t0: [19:00:00 04/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [19:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 59.85 vu: ml
id: Service Type t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd
id: INV Line#1 Type/Site t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd
id: Range of Motion t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: HOB t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Side Rails t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Therapeutic Bed t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Behavior t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [20:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 59.85 vu: ml id: Urine Out Foley t0: [20:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: FiO2 Set t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Intubation Date t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: O2 Delivery Device t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: lpm st: NotStopd id: SpO2 t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd
id: Communication t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: LLL Lung Sounds t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pupil Response R/L t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd
pi: 1284393 hi: 12801 t0: [21:00:00 04/06/2017] tf: [21:00:00 05/06/2017] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: PRN dt: 24 di: Hours xv: 36 xu: Hours pi: 1284394 hi: 12801 t0: [21:00:00 04/06/2017] tf: [21:00:00 05/06/2017] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: PRN dt: 24 di: Hours xv: 36 xu: Hours pi: 1284395 hi: 12801 t0: [21:00:00 04/06/2017] tf: [10:00:00 07/06/2017] mn: Phenytoin pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q8H ds: 6, 14, 22 dn: 3 di: Ongoing xu: Enter on Label
id: Labetolol t0: [19:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Nitroprusside t0: [19:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Temp. Site t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd
id: Labetolol t0: [20:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Communication t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: LL Strength/Movement t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Pupil Response R/L t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd
id: .9% Normal Saline 200.0ml + 200mgmin Labetolol el: 1 t0: [20:00:00 04/06/2017] tf: [20:21:00 04/06/2017] cu: CSRU dt: 21
id: .9% Normal Saline 200.0ml + 200mgmin Labetolol t0: [20:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: Cerebral Drain L Ventricular Drain t0: [20:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: .9% Normal Saline 200.0ml + 200mgmin Labetolol t0: [20:21:00 04/06/2017] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: ICP t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Arterial BP t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 182 n1: 182 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 170 n1: 170 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Precautions t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg st: NotStopd id: CPP t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd
id: Labetolol t0: [20:15:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Labetolol t0: [20:20:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: mgmin so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: ICP t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Arterial BP t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd id: CPP t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd
id: Nitroprusside el: 1 t0: [20:25:00 04/06/2017] tf: [19:54:00 26/06/2017] cu: CSRU dt: 31649
id: Nitroprusside t0: [20:25:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.49123 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [20:30:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.49123 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Arterial BP t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd
id: Nitroprusside t0: [20:45:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd
id: Nitroprusside t0: [21:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Communication t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd id: LLL Lung Sounds t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Oral Cavity t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pupil Response R/L t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [21:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 60.5208 vu: ml id: Urine Out Foley t0: [21:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: HOB t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd
id: Range of Motion t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Inc Closure/Appear#1 t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Position Change t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Behavior t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [22:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 49.875 vu: ml id: Urine Out Foley t0: [22:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Communication t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd id: LL Strength/Movement t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Oral Cavity t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pupil Response R/L t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd
id: Gastric Nasogastric el: 1 t0: [22:00:00 04/06/2017] tf: [04:00:00 11/06/2017] cu: CSRU dt: 9000
id: Gastric Nasogastric t0: [22:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 800 vu: ml
id: Cerebral Drain L Ventricular Drain t0: [22:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Service Type t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: ICP t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: CPP t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd
id: Nitroprusside t0: [22:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [23:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Intubation Date t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: O2 Delivery Device t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd
id: Communication t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd id: LL Strength/Movement t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Oral Cavity t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pupil Response R/L t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [23:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 49.875 vu: ml id: Urine Out Foley t0: [23:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd
id: Nitroprusside t0: [00:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: INV Line#1 Type/Site t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd
id: Range of Motion t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: HOB t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Side Rails t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Therapeutic Bed t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Behavior t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Anxious st: NotStopd
id: Communication t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd id: LL Strength/Movement t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Oral Cavity t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pupil Response R/L t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [00:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 57 vu: ml id: Urine Out Foley t0: [00:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Urine Out Foley t0: [01:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Cerebral Drain L Ventricular Drain t0: [01:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Arterial BP t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd
id: Nitroprusside t0: [01:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: HOB t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd
id: Service Type t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd
id: Nitroprusside t0: [02:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.8 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Range of Motion t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Inc Dsg/Status #1 t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: Intubation Date t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: O2 Delivery Device t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Position Change t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Behavior t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Anxious st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [01:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 64.125 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [02:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 64.125 vu: ml id: Urine Out Foley t0: [02:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Communication t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd id: LL Strength/Movement t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Oral Cavity t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pupil Response R/L t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd
id: Service Type t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd
id: Nitroprusside t0: [03:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.8 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Communication t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd id: LL Strength/Movement t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Oral Cavity t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pupil Response R/L t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [03:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 68.4 vu: ml id: Urine Out Foley t0: [03:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Cerebral Drain L Ventricular Drain t0: [03:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Cerebral Drain Total t0: [23:00:00 05/06/2017] el: 3 cg: RN cu: CSRU pv: 35 cv: 275 ac: 24 ap: none re: 0
id: Glucose t0: [03:00:00 05/06/2017] el: 0 cg: NA cu: CSRU v1: 138 n1: 138 rs: Manual st: NotStopd id: Glucose (70-105) t0: [03:00:00 05/06/2017] el: 0 cg: NA cu: CSRU v1: 138 n1: 138 rs: Manual st: NotStopd
id: Art.pH t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Lactic Acid t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 80 n1: 80 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Ionized Calcium t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.15 n1: 1.15 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 17.7 n1: 17.7 rs: Final st: NotStopd id: WBC t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 17.7 n1: 17.7 rs: Final st: NotStopd id: Hematocrit t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 36 n1: 36 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 11.9 n1: 11.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 220 n1: 220 rs: Final st: NotStopd id: RBC t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.27 n1: 4.27 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 17.7 n1: 17.7 rs: Final st: NotStopd
id: PT t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: INR t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PTT t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 26.8 n1: 26.8 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: PTT(22-35) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 26.8 n1: 26.8 rs: Final st: NotStopd
id: Service Type t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Arterial BP t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: calprevflg t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd
id: Nitroprusside t0: [04:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: HOB t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Position t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd
id: BUN t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Calcium t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd id: Magnesium t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Phosphorous t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd id: Total Bili t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Intubation Date t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: O2 Delivery Device t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: ALT t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 11 n1: 11 rs: Final st: NotStopd id: BUN (6-20) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [04:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 68.4 vu: ml id: Urine Out Foley t0: [04:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: IV Infusion In Total t0: [23:00:00 05/06/2017] el: 3 cg: RN cu: CSRU pv: 100 cv: 3807.05 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 05/06/2017] el: 3 cg: RN cu: CSRU pv: 140 cv: 4752.05 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 05/06/2017] el: 3 cg: RN cu: CSRU pv: 155 cv: 155 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 05/06/2017] el: 3 cg: RN cu: CSRU pv: 120 cv: 2218 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 05/06/2017] el: 3 cg: RN cu: CSRU pv: -15 cv: 2009.05 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 05/06/2017] el: 3 cg: RN cu: CSRU pv: -15 cv: 3855.1 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 05/06/2017] el: 3 cg: RN cu: CSRU pv: -15 cv: -15 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 05/06/2017] el: 3 cg: RN cu: CSRU pv: 155 cv: 2743 ac: 24 ap: none re: 0
id: Range of Motion t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Position Change t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Behavior t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd
id: Communication t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd id: LL Strength/Movement t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Oral Cavity t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pupil Response R/L t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd
pi: 1284929 hi: 12801 t0: [06:00:00 05/06/2017] tf: [05:00:00 05/06/2017] mn: Nicardipine HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 1284930 hi: 12801 t0: [06:00:00 05/06/2017] tf: [15:00:00 07/07/2017] mn: Magnesium Sulfate pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: PRN di: Ongoing xv: 36 xu: Hours pi: 1284947 hi: 12801 t0: [06:00:00 05/06/2017] tf: [09:00:00 05/06/2017] mn: Nicardipine HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO dn: 1 di: Ongoing xu: Enter on Label pi: 1284948 hi: 12801 t0: [06:00:00 05/06/2017] tf: [10:00:00 05/06/2017] mn: Nitroprusside Sodium pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO dn: 1 di: Ongoing xu: Enter on Label
id: .9% Normal Saline 1000.0ml t0: [05:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [05:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 71.25 vu: ml id: Urine Out Foley t0: [05:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Cerebral Drain L Ventricular Drain t0: [05:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Service Type t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd
id: Nitroprusside t0: [05:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: INV Line#1 Type/Site t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd
id: Service Type t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd
id: Nitroprusside t0: [06:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Range of Motion t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Inc Dsg/Status #1 t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: O2 Delivery Device t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Position Change t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Behavior t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [06:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 71.25 vu: ml id: Urine Out Foley t0: [06:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: HOB t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Assistance Device t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd
id: Communication t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Communication t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Diet Type t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Intub Site t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: Follows Commands t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GCS Total t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd id: GI#1 Tube Stat/Drain t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd id: LL Strength/Movement t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LL Strength/Movement t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LLL Lung Sounds t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Level of Conscious t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Drainage t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Lev/Loc t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Status t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Drain Type t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Oral Cavity t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Orientation t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pupil Response R/L t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Response R/L t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RL Strength/Movement t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RLL Lung Sounds t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RU Strength/Movement t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Pattern t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Responds to Stimuli t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Speech t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Spontaneous Movement t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Verbal Response t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd
id: Nicardipine io: .9% Normal Saline 250.0ml + 25mcgkgmin Nicardipine el: 100 cg: RN cu: CSRU am: 25 du: mcgkgmin rt: IV Drip
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [06:00:00 05/06/2017] el: 1 ai: 110 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Communication t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GI Intub #1/Site t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd id: LL Strength/Movement t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Neuro Drain Drainage t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Oral Cavity t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pupil Response R/L t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd
id: D5W 100.0ml t0: [06:00:00 05/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
id: D5W 100.0ml t0: [05:00:00 05/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: D5W 100.0ml t0: [22:00:00 04/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Gastric Nasogastric t0: [06:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Service Type t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Type t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd
id: Nitroprusside t0: [07:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Alarms t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Pain Level t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3-Mild to Mod st: NotStopd id: Pain Present t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Inc Dsg/Status #1 t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Incision/Wound #1 t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LLL Lung Sounds t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: O2 Delivery Device t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Level (Rest) t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3-Mild to Mod st: NotStopd id: Pain Location t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Headache st: NotStopd id: Arterial BP Mean t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Responds to Stimuli t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Side Rails t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd id: Behavior t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd id: CPP t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [07:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 71.25 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [08:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 71.25 vu: ml id: Urine Out Foley t0: [07:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [08:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [09:00:00 05/06/2017] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
pi: 1285148 hi: 12801 t0: [10:00:00 05/06/2017] tf: [09:00:00 05/06/2017] mn: Labetalol HCl pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 1285177 hi: 12801 t0: [10:00:00 05/06/2017] tf: [09:00:00 05/06/2017] mn: Labetalol HCl pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q4H ds: 2, 6, 10, 14, 18, 22 dn: 6 di: Ongoing xv: 36 xu: Hours pi: 1285202 hi: 12801 t0: [10:00:00 05/06/2017] tf: [22:00:00 05/06/2017] mn: Nicardipine HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 1285204 hi: 12801 t0: [10:00:00 05/06/2017] tf: [22:00:00 06/06/2017] mn: Labetalol HCl pt: Unit Dose st: Discontinued rt: IV fr: Q4H ds: 2, 6, 10, 14, 18, 22 dn: 6 di: Ongoing xv: 36 xu: Hours
id: Circulation/SkinInt t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: HOB t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Assistance Device t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd
id: Nitroprusside t0: [08:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Type t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: ICP t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: ICP t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: ICP t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: ICP t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: NICARDIPINE--MG/HR t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 id: NICARDIPINE--MG/HR t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 id: NICARDIPINE--MG/HR t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 id: NICARDIPINE--MG/HR t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 id: NICARDIPINE--MG/HR t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 id: Arterial BP t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: CPP t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: CPP t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: CPP t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: CPP t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd
id: Nicardipine el: 1 t0: [08:00:00 05/06/2017] tf: [19:54:00 26/06/2017] cu: CSRU dt: 30954
id: Nicardipine t0: [08:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [07:45:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [07:55:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [08:25:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Riker-SAS Scale t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: NICARDIPINE el: 1 t0: [08:00:00 05/06/2017] tf: [01:00:00 07/06/2017] cu: CSRU dt: 2460
id: NICARDIPINE t0: [08:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 170 vu: ml id: NICARDIPINE t0: [09:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: Range of Motion t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Communication t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Communication t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Communication t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Diet Type t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Intub Site t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Eye Opening t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Eye Opening t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: Follows Commands t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: Follows Commands t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GCS Total t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GCS Total t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Inc Drainage/Amt #1 t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LL Strength/Movement t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LL Strength/Movement t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Level of Conscious t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Level of Conscious t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Drainage t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Drainage t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm st: NotStopd id: Neuro Drain Lev/Loc t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Lev/Loc t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Status t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Status t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Drain Type t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Drain Type t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Orientation t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Orientation t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Position Change t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pupil Response R/L t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RL Strength/Movement t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RL Strength/Movement t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Reason For Restraint t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Pattern t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Responds to Stimuli t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Responds to Stimuli t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Speech t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Speech t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Speech t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Spontaneous Movement t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Spontaneous Movement t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Verbal Response t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Verbal Response t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Behavior t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd id: Braden Activity t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: Pupil Response R/L t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd
pi: 1285359 hi: 12801 t0: [11:00:00 05/06/2017] tf: [00:00:00 06/06/2017] mn: Nimodipine pt: Unit Dose st: Discontinued rt: PO fr: Q4H ds: 11, 15, 19, 23, 3, 7 dn: 6 di: Ongoing xv: 36 xu: Hours pi: 1285360 hi: 12801 t0: [11:00:00 05/06/2017] tf: [15:00:00 07/07/2017] mn: Heparin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: Q12H ds: 11, 23 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Vancomycin/Trough t0: [06:00:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 13.4 n1: 13.4 rs: Final st: NotStopd
id: Service Type t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [10:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [10:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [10:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 id: NICARDIPINE--MG/HR t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 id: NICARDIPINE--MG/HR t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 id: NICARDIPINE--MG/HR t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 id: Arterial BP t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [10:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd
id: KCL io: .9% Normal Saline 1000.0ml el: 200 cg: RN cu: CSRU am: 20 du: mEq rt: Intravenous Push
io: .9% Normal Saline 1000.0ml el: 2 cg: RN cu: CSRU ra: 100 ru: ml/hr
id: Service Type t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 id: Arterial BP t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd
id: Communication t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Cough/Deep Breathe t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: HOB t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Intubation Date t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Orientation t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Position t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Pupil Response R/L t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Responds to Stimuli t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Therapeutic Bed t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Verbal Response t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: NICARDIPINE t0: [10:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 110 vu: ml id: NICARDIPINE t0: [11:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: Urine Out Foley t0: [10:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [11:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: Cerebral Drain L Ventricular Drain t0: [10:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Pain Present t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: ICP t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 id: Intubation Date t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Speech t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: CPP t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml el: 2 t0: [12:00:00 05/06/2017] tf: [15:00:00 06/06/2017] cu: CSRU dt: 1620
id: .9% Normal Saline 1000.0ml t0: [12:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [12:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: Urine Out Foley t0: [12:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: ICP t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: ICP t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: ICP t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: NICARDIPINE--MG/HR t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 id: NICARDIPINE--MG/HR t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 id: Arterial BP t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: calprevflg t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: CPP t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: CPP t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [13:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [13:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: Cerebral Drain L Ventricular Drain t0: [13:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Service Type t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough/Deep Breathe t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Risk for Falls t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: HOB t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: NICARDIPINE--MG/HR t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1.5 n1: 1.5 id: Arterial BP t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Precautions t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Respiratory Rate t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 rs: Manual st: NotStopd
id: Pain Present t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Communication t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Risk for Falls t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Diet Type t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: Ectopy Type t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Intub Site t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Eye Opening t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: Follows Commands t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GCS Total t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NICARDIPINE--MG/HR t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1.5 n1: 1.5 id: Intubation Date t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LL Strength/Movement t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Level of Conscious t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Drainage t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Lev/Loc t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Status t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Drain Type t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Neuro Symptoms t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Orientation t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Orientation t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Response R/L t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RL Strength/Movement t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Pattern t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Responds to Stimuli t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Responds to Stimuli t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Speech t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Speech t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Spontaneous Movement t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 35.8333 n1: 35.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96.5 n1: 96.5 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Verbal Response t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [14:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [14:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 43 vu: ml
id: Range of Motion t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Incision/Wound #1 t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Position Change t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Behavior t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd
id: Service Type t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: ICP t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: ICP t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 id: Arterial BP t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: CPP t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd
id: Service Type t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: ICP t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2.5 n1: 2.5 id: NICARDIPINE--MG/HR t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 id: Arterial BP t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Precautions t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: CPP t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd
id: Pain Present t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Communication t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Diet Type t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: HOB t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Inc Drainage/Amt #1 t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Incision/Wound #1 t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LUL Lung Sounds t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Orientation t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pain Location t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pupil Response R/L t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Side Rails t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Speech t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Turn t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Behavior t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd id: Behavior t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:30:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 50 vu: ml id: NICARDIPINE t0: [15:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: NICARDIPINE t0: [15:30:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: NICARDIPINE t0: [16:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [15:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [16:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 id: Arterial BP t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [17:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [17:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: Cerebral Drain L Ventricular Drain t0: [17:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: ICP t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3.5 n1: 3.5 id: Arterial BP t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Precautions t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd
id: Service Type t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: NICARDIPINE--MG/HR t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: Arterial BP t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Precautions t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Communication t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Diet Type t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Intub Site t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Eye Opening t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: Follows Commands t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GCS Total t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Intubation Date t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LL Strength/Movement t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LU Strength/Movement t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: Level of Conscious t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Level of Conscious t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Motor Response t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Drainage t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Lev/Loc t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Status t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Drain Type t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Neuro Symptoms t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Orientation t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Orientation t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Pain Location t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Response R/L t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RL Strength/Movement t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Pattern t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Responds to Stimuli t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Speech t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Spontaneous Movement t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Verbal Response t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [18:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [18:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Range of Motion t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Communication t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: HOB t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 degrees st: NotStopd id: Activity t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: NICARDIPINE--MG/HR t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: Incision/Wound #1 t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: Level of Conscious t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Position Change t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Previous Weight t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [10:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Pupil Response R/L t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Radiologic Study t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: CT scan st: NotStopd id: Reason For Restraint t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Speech t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temperature C (calc) t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: BSA - English t0: [08:05:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1.60377 n1: 1.60377 u1: m2 st: NotStopd id: BSA - Metric t0: [08:05:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1.86275 n1: 1.86275 u1: m2 st: NotStopd id: Verbal Response t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Daily Weight t0: [08:05:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Behavior t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd
id: D5W 100.0ml t0: [14:00:00 05/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: D5W 100.0ml t0: [16:00:00 05/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: Gastric Nasogastric t0: [18:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Gastric Out Total t0: [23:00:00 05/06/2017] el: 3 cg: RN cu: CSRU cv: 250 ac: 24 ap: none re: 0
id: AntiEmbDevice/Status t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd
id: Potassium t0: [18:30:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [18:30:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd
id: Service Type t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Risk for Falls t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: LL Strength/Movement t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: Level of Conscious t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Pupil Response R/L t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Responds to Stimuli t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd
id: NICARDIPINE t0: [19:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [19:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: Fingerstick Glucose t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd
id: Service Type t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Arterial BP t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Precautions t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Respiratory Rate t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd
id: Service Type t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Risk for Falls t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: HOB t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: NICARDIPINE--MG/HR t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: Inc Drainage/Amt #1 t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: LL Strength/Movement t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: Level of Conscious t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Pupil Response R/L t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Turn t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: CPP t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [20:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [20:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Cerebral Drain L Ventricular Drain t0: [20:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Pain Present t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Diet Type t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Type t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Bilious st: NotStopd id: Heart Rate t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Abdominal Assessment t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: NICARDIPINE--MG/HR t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: Incision/Wound #1 t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LUL Lung Sounds t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Pupil Response R/L t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Responds to Stimuli t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [21:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [21:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
pi: 1287359 hi: 12801 t0: [23:00:00 05/06/2017] tf: [20:00:00 12/06/2017] mn: Nicardipine HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: Service Type t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Respiratory Rate t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd
id: Vancomycin/Random t0: [20:30:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 31.5 n1: 31.5 rs: Final st: NotStopd
id: Range of Motion t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Risk for Falls t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: HOB t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Activity t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: NICARDIPINE--MG/HR t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: NICARDIPINE--MG/HR t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: Activity Tolerance t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: Level of Conscious t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Position t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Pupil Response R/L t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Reason For Restraint t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Responds to Stimuli t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Therapeutic Bed t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Source t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: CPP t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [22:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [22:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: Dilantin t0: [06:00:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 5.1 n1: 5.1 rs: Final st: NotStopd
id: Communication t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: LL Strength/Movement t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: Level of Conscious t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pupil Response R/L t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [00:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: NICARDIPINE t0: [23:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [00:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [23:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Service Type t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: Arterial BP t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Respiratory Rate t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temperature C (calc) t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd
id: Communication t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Bilious st: NotStopd id: Abdominal Assessment t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pupil Response R/L t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Bowel Sounds t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: INV Line#1 Type/Site t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd
id: Pain Present t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: Intubation Date t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: O2 Delivery Device t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: lpm st: NotStopd id: Arterial BP t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Respiratory Rate t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [00:00:00 06/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [01:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [01:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Cerebral Drain L Ventricular Drain t0: [23:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Communication t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: LL Strength/Movement t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: Level of Conscious t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pupil Response R/L t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd
id: Service Type t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: Arterial BP t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Respiratory Rate t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd
id: Range of Motion t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Communication t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Cough/Deep Breathe t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Diet Type t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: HOB t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 15 degrees st: NotStopd id: Activity t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: Level of Conscious t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Pupil Response R/L t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Reason For Restraint t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Type t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Speech t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Therapeutic Bed t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [02:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [02:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Abdominal Assessment t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: NICARDIPINE--MG/HR t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: LL Strength/Movement t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: Level of Conscious t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Pupil Response R/L t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Responds to Stimuli t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [03:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [03:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: IV Infusion In Total t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: 10 cv: 1800 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: 80 cv: 2790 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: 75 cv: 75 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: 40 cv: 2200 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: 5 cv: 29 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: 5 cv: 3884.1 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: 5 cv: 5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: 75 cv: 2761 ac: 24 ap: none re: 0
id: Service Type t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: WBC (4-11,000) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Code Status t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: WBC t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Ectopy Frequency t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Respiratory Rate t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temperature C (calc) t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: calprevflg t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Hematocrit t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 41.2 n1: 41.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 13.4 n1: 13.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 256 n1: 256 rs: Final st: NotStopd id: RBC t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.94 n1: 4.94 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: CPP t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd
id: BUN t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Calcium t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Magnesium t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd id: Total Bili t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0.5 n1: 0.5 rs: Final st: NotStopd id: ALT t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: BUN (6-20) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Dilantin t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 5.8 n1: 5.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd
id: PT t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12.1 n1: 12.1 rs: Final st: NotStopd id: INR t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PTT t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 26.7 n1: 26.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12.1 n1: 12.1 rs: Final st: NotStopd id: PTT(22-35) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 26.7 n1: 26.7 rs: Final st: NotStopd
id: IV #2 Insert Date t0: [05:00:00 06/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 Site/Size t0: [05:00:00 06/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #2 t0: [05:00:00 06/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Service Type t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: NBP t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Respiratory Rate t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [04:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: NICARDIPINE t0: [05:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [04:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [05:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Intubation Date t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: O2 Delivery Device t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: lpm st: NotStopd
id: Cerebral Drain L Ventricular Drain t0: [02:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Cerebral Drain L Ventricular Drain t0: [05:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Communication t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Cough/Deep Breathe t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Prophylaxis t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 15 degrees st: NotStopd id: INV Line#1 Type/Site t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 D/C Date t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #2 Insert Date t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Pupil Response R/L t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Therapeutic Bed t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd
id: Pain Present t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Incision/Wound #1 t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: Level of Conscious t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 98.3333 n1: 98.3333 u1: mmHg st: NotStopd id: Neuro Drain Drainage t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Pupil Response R/L t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Reason For Restraint t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Responds to Stimuli t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Type t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [05:00:00 06/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: D5W 100.0ml t0: [06:00:00 06/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [06:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [06:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Gastric Nasogastric t0: [05:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: NICARDIPINE--MG/HR t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: NICARDIPINE--MG/HR t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: NICARDIPINE--MG/HR t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4
id: Service Type t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: NBP t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [07:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [07:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Pain Present t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Prophylaxis t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: HOB t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 15 degrees st: NotStopd id: Heart Rate t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: NICARDIPINE--MG/HR t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: Activity Tolerance t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: lpm st: NotStopd id: Orientation t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Type t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Speech t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [08:00:00 06/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [08:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [08:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: LU Strength/Movement t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd
pi: 1288167 hi: 12801 t0: [09:00:00 06/06/2017] tf: [08:00:00 07/06/2017] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 1288168 hi: 12801 t0: [10:00:00 06/06/2017] tf: [12:00:00 06/06/2017] mn: Lorazepam pt: Unit Dose st: Discontinued rt: IV fr: Q6H ds: 4, 10, 16, 22 dn: 4 di: Ongoing xv: 36 xu: Hours
pi: 1288685 hi: 12801 t0: [13:00:00 06/06/2017] tf: [20:00:00 23/06/2017] mn: Lorazepam pt: Unit Dose st: Discontinued rt: IV fr: ASDIR di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [12:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: WBC (4-11,000) t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21.4 n1: 21.4 rs: Final st: NotStopd id: CaO2 t0: [12:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 17.4271 n1: 17.4271 u1: ml/dl st: NotStopd id: BUN t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Calcium t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 131 n1: 131 rs: Final st: NotStopd id: Magnesium t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd id: WBC t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21.4 n1: 21.4 rs: Final st: NotStopd id: Arterial Base Excess t0: [12:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 87 n1: 87 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: BUN (6-20) t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Chloride (100-112) t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 131 n1: 131 rs: Final st: NotStopd id: Hematocrit t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 39.7 n1: 39.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 13.2 n1: 13.2 u1: gm/dl rs: Final st: NotStopd id: Ionized Calcium t0: [12:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.19 n1: 1.19 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Platelets t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 245 n1: 245 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: RBC t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.77 n1: 4.77 u1: /mic l rs: Final st: NotStopd id: SaO2 t0: [12:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 u1: % rs: Final st: NotStopd id: Sodium (135-148) t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd id: WBC (4-11,000) t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21.4 n1: 21.4 rs: Final st: NotStopd
id: Extubation Date t0: [15:00:00 06/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Pain Present t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Extubation Date t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4/4 st: NotStopd id: Eye Opening t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: NICARDIPINE--MG/HR t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: NICARDIPINE--MG/HR t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: NICARDIPINE--MG/HR t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: NICARDIPINE--MG/HR t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: NICARDIPINE--MG/HR t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: NICARDIPINE--MG/HR t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: Intubation Date t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: Intubation Date t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LUL Lung Sounds t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Delivery Device t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: lpm st: NotStopd id: Orientation t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Radiologic Study t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Radiologic Study t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: CT scan st: NotStopd id: Radiologic Study t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Pattern t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Responds to Stimuli t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Urine Color/Appear t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [14:00:00 06/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [14:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: NICARDIPINE t0: [15:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Gastric Nasogastric t0: [14:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [14:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 1010 vu: ml id: Urine Out Foley t0: [15:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: Cerebral Drain L Ventricular Drain t0: [14:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Gastric Out Total t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU cv: 300 ac: 24 ap: none re: 0
id: Range of Motion t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Family Communication t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Inc Closure/Appear#1 t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Reinforced st: NotStopd id: Incision/Wound #1 t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Position Change t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Type t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd
id: Cough/Deep Breathe t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd
id: INV Line#1 Type/Site t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd
id: .9% Normal Saline 1000.0ml el: 3 t0: [15:00:00 06/06/2017] tf: [19:00:00 08/06/2017] cu: CSRU dt: 3120
id: .9% Normal Saline 1000.0ml t0: [15:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vu: ml st: Stopped id: .9% Normal Saline 1000.0ml t0: [15:00:00 06/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Nepro el: 1 t0: [15:00:00 06/06/2017] tf: [12:00:00 08/06/2017] cu: CSRU dt: 2700
id: Nepro t0: [15:00:00 06/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 10 vu: ml
id: Previous Weight t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Previous WeightF t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Previous WeightF t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Previous WeightF t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: BSA - English t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1.62048 n1: 1.62048 u1: m2 st: NotStopd id: BSA - Metric t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1.88172 n1: 1.88172 u1: m2 st: NotStopd id: Weight Change t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: kg st: NotStopd id: Daily Weight t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: IV #1 Reason DC'D t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clotted off st: NotStopd id: IV #1 D/C Date t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd
id: Service Type t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: Intubation Date t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LUL Lung Sounds t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: lpm st: NotStopd id: Orientation t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Pupil Response R/L t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Speech t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 06/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [16:00:00 06/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 10 vu: ml id: NICARDIPINE t0: [16:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [16:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Range of Motion t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: Inc Closure/Appear#1 t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Closure/Appear#1 t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Drainage/Amt #1 t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Inc Dsg/Status #1 t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Incision/Wound #1 t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LUL Lung Sounds t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Flow (lpm) t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: lpm st: NotStopd id: Orientation t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position Change t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Pupil Response R/L t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Responds to Stimuli t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Location t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Type t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Side Rails t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 06/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 06/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [17:00:00 06/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [18:00:00 06/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 10 vu: ml id: NICARDIPINE t0: [17:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: NICARDIPINE t0: [18:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [17:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [18:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Pain Present t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Risk for Falls t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NICARDIPINE--MG/HR t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: LL Strength/Movement t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: Level of Conscious t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Pupil Response R/L t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Responds to Stimuli t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Cough/Deep Breathe t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Prophylaxis t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: HOB t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Therapeutic Bed t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Bowel Sounds t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: ICP t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CPP t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd
id: Cerebral Drain L Ventricular Drain t0: [18:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 58 vu: ml
id: Service Type t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Risk for Falls t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Alarms t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: ICP t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: NICARDIPINE--MG/HR t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: Intubation Date t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LUL Lung Sounds t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Flow (lpm) t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: lpm st: NotStopd id: Orientation t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Pupil Response R/L t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Responds to Stimuli t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Speech t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 06/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [19:00:00 06/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 10 vu: ml id: NICARDIPINE t0: [19:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [19:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: D5W 100.0ml t0: [18:00:00 06/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
id: INV Line#2 Type/Site t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Cough/Deep Breathe t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Prophylaxis t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: INV Line#2 Type/Site t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: NICARDIPINE--MG/HR t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: Activity Tolerance t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LUL Lung Sounds t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Pupil Response R/L t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: