This log is also available as text (215cc.txt) and as a (binary) annotation file (215cc.log).
Generated: Thursday, 23-Apr-2009 00:35:23 EDT
(All dates below are surrogates.)
id: Fingerstick Glucose t0: [17:00:00 03/03/2020] el: 0 cg: CoWker cu: CCU v1: 164 n1: 164 rs: Manual st: NotStopd
id: Service Type t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 03/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 0.25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 03/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [18:00:00 03/03/2020] el: 1 ai: 168 cg: RN cu: CCU vu: ml nb: 1
id: Fentanyl t0: [18:00:00 03/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 03/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Insulin io: .9% Normal Saline 100.0ml + 100Uhr Insulin el: 100 cg: RN cu: CCU am: 100 du: Uhr rt: IV Drip
pi: 4383032 hi: 10078 t0: [18:00:00 03/03/2020] tf: [19:00:00 03/03/2020] mn: Sulfameth/Trimethoprim pt: IV Piggyback st: Discontinued rt: IV fr: BID ds: 18, 06 dn: 2 di: Ongoing xu: Enter on Label pi: 4383076 hi: 10078 t0: [18:00:00 03/03/2020] tf: [09:00:00 04/03/2020] pt: IV Piggyback st: Discontinued rt: PB fr: BID ds: 18, 06 dn: 2 di: Ongoing xu: Enter on Label
pi: 4383226 hi: 10078 t0: [10:00:00 03/03/2020] tf: [20:00:00 01/04/2020] mn: PredniSONE pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 03/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 1 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 03/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 0.25 vu: ml id: Urine Out Foley t0: [18:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [19:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 03/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [19:00:00 03/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [19:00:00 03/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 03/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Insulin t0: [19:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 90 n1: 90 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 0.9 n1: 0.9 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 14.7 n1: 14.7 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 1600 n1: 1600 st: NotStopd id: Tank B psi. t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 630 n1: 630 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 03/03/2020] el: 1 cg: RN cu: CCU v1: Unstbl Vent Stat st: NotStopd id: Risk for Falls t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: Edema Location/Amt#1 t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: Eye Care t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Care t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Care t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Family Communication t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: Family Communication t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GCS Total t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: HOB t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v2: 22 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Oral Care t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Support Systems t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: Temp. Site t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: TF Residual t0: [18:00:00 03/03/2020] el: 1 ai: 209 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 03/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 1 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 03/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 0.25 vu: ml id: Urine Out Foley t0: [20:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 03/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [20:00:00 03/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 03/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [20:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 175 n1: 175 rs: Manual st: NotStopd
id: Art.pH t0: [21:03:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.26 n1: 7.26 rs: Final st: NotStopd id: Arterial Base Excess t0: [21:03:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [21:03:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [21:03:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [21:03:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 207 n1: 207 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [21:03:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.26 n1: 7.26 rs: Final st: NotStopd
id: Service Type t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CaO2 t0: [21:03:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 11.6726 n1: 11.6726 u1: ml/dl st: NotStopd id: Code Status t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: SaO2 t0: [21:03:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 03/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 1 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 03/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 0.25 vu: ml id: Urine Out Foley t0: [21:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 03/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [21:00:00 03/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 03/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [21:00:00 03/03/2020] el: 0 cg: CoWker cu: CCU v1: 186 n1: 186 rs: Manual st: NotStopd
id: Cuff Pressure-Airway t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 52 n1: 52 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: High Insp. Pressure t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 8 n1: 8 st: NotStopd id: Apnea Time Interval t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Ve High t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: SpO2 t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Small st: NotStopd id: Ventilator Type t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd
pi: 4383745 hi: 10078 t0: [23:00:00 03/03/2020] tf: [00:00:00 21/03/2020] mn: Albuterol pt: Unit Dose st: Discontinued rt: IH fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [22:00:00 03/03/2020] el: 0 cg: CoWker cu: CCU v1: 177 n1: 177 rs: Manual st: NotStopd
id: TF Residual t0: [22:00:00 03/03/2020] el: 1 ai: 209 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [22:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 10 vu: ml id: Nepro 10.0str t0: [20:00:00 03/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Nepro 10.0str t0: [21:00:00 03/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Nepro 10.0str t0: [22:00:00 03/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml
id: Less Restrict Meas. t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Circulation/SkinInt t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: Position Change t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Restraint Location t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Pt./Family Informed t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 03/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 1.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 03/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 0.25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 03/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml
id: Insulin t0: [21:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Micro-Neb Treatment t0: [23:00:00 03/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4383929 hi: 10078 t0: [00:00:00 04/03/2020] tf: [23:00:00 04/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml LR Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Pain Present t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [23:00:00 03/03/2020] el: 1 cg: RN cu: CCU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Zero/Cal t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Abdominal Assessment t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 D/C Date t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: Activity t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Skin Care t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 03/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 1.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 03/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 0.25 vu: ml id: Urine Out Foley t0: [23:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 03/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [23:00:00 03/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [22:00:00 03/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 03/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 03/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 03/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [22:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [23:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 03/03/2020] el: 3 cg: RN cu: CSRU pv: 8.75 cv: 1902.25 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 03/03/2020] el: 3 cg: RN cu: CSRU pv: 18.75 cv: 1952.25 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 03/03/2020] el: 3 cg: RN cu: CSRU pv: 25 cv: 25 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 03/03/2020] el: 2 cg: RN cu: CCU pv: 10 cv: 50 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 03/03/2020] el: 3 cg: RN cu: CSRU pv: 10 cv: 50 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 03/03/2020] el: 3 cg: RN cu: CSRU pv: 25 cv: 757 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 03/03/2020] el: 3 cg: RN cu: CSRU pv: -6.25 cv: 1195.25 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 03/03/2020] el: 3 cg: RN cu: CSRU pv: -6.25 cv: 120.874 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 03/03/2020] el: 3 cg: RN cu: CSRU pv: -6.25 cv: -6.25 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 03/03/2020] el: 3 cg: RN cu: CSRU pv: 25 cv: 757 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 187 n1: 187 rs: Manual st: NotStopd
id: Art.pH t0: [23:28:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: CaO2 t0: [23:28:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 11.0972 n1: 11.0972 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [23:28:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: -9 n1: -9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:28:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 17 n1: 17 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:28:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:28:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 94 n1: 94 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:28:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: SaO2 t0: [23:28:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: FiO2 Set t0: [22:15:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Service Type t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: Heart Rate t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Rate t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Temp. Site t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Pt./Family Informed t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Lactated Ringers t0: [00:00:00 04/03/2020] el: 1 ai: 106 cg: RN cu: CCU vo: 500 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 1.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 0.25 vu: ml id: Urine Out Foley t0: [00:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [00:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [00:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [00:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 50 n1: 50 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 13.8 n1: 13.8 u1: L/min st: NotStopd id: PEEP Set t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Previous WeightF t0: [01:00:00 03/03/2020] el: 0 cg: RRts cu: CCU u1: kg st: NotStopd id: Resp Rate (Spont) t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 199 n1: 199 rs: Manual st: NotStopd
id: Service Type t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 1.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [01:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [01:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [01:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [01:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [01:19:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: CaO2 t0: [01:19:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 11.4773 n1: 11.4773 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [01:19:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [01:19:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [01:19:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [01:19:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [01:19:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: SaO2 t0: [01:19:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Service Type t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Level of Conscious t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Oral Cavity t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Arterial BP t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: TF Residual t0: [02:00:00 04/03/2020] el: 1 ai: 209 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.5 vu: ml id: Urine Out Foley t0: [02:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [02:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml
id: Fentanyl t0: [02:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [02:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 160 n1: 160 rs: Manual st: NotStopd
id: Fingerstick Glucose t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 187 n1: 187 rs: Manual st: NotStopd
id: Service Type t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [03:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Riker-SAS Scale t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Oral Care t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Fingerstick Glucose t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 161 n1: 161 rs: Manual st: NotStopd
id: Insulin t0: [03:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 34.6154 n1: 34.6154 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: RSBI Not Completed t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 12.2 n1: 12.2 u1: L/min st: NotStopd id: PEEP Set t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Rec. Breath Pressure t0: [03:00:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 36 n1: 36 st: NotStopd id: Rec.Breath Time(sec) t0: [03:00:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 30 n1: 30 st: NotStopd id: Resp Rate (Spont) t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: IV #2 Reason DC'D t0: [04:00:00 04/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: FiO2 Set t0: [03:58:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: FiO2 Set t0: [04:00:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: IV #2 D/C Date t0: [04:00:00 04/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Insert Date t0: [04:00:00 04/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Site/Size t0: [04:00:00 04/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #2 t0: [04:00:00 04/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4384481 hi: 10078 t0: [05:00:00 04/03/2020] tf: [04:00:00 05/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml LR Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Fingerstick Glucose t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 142 n1: 142 rs: Manual st: NotStopd
id: Service Type t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd id: calprevflg t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lactated Ringers t0: [04:00:00 04/03/2020] el: 1 ai: 106 cg: RN cu: CCU vo: 500 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.5 vu: ml id: Urine Out Foley t0: [03:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [03:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: Nepro 10.0str t0: [04:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml
id: Fentanyl t0: [04:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [04:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Circulation/SkinInt t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Type/Site t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1InsertDate t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Type/Site t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2InsertDate t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV #1 Insert Date t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Insert Date t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v2: 22 gauge st: NotStopd id: IV #1 Site/Size t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v2: 22 gauge st: NotStopd id: IV #2 Insert Date t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Position Change t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Dsg Change t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: Reason For Restraint t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Rate t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Cap Change t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: Pt./Family Informed t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Pain Present t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Location t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd
id: Service Type t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [05:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [05:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: GI Prophylaxis t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: Abdominal Assessment t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: RLL Lung Sounds t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Urine Color/Appear t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [05:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml
id: Fingerstick Glucose t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 131 n1: 131 rs: Manual st: NotStopd
id: Art.pH t0: [05:22:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:22:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:22:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:22:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:22:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 110 n1: 110 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:22:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: SaO2 t0: [05:22:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: HOB t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Position t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd
id: BUN t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 123 n1: 123 rs: Final st: NotStopd id: Calcium t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 5.4 n1: 5.4 rs: Final st: NotStopd id: Glucose t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Magnesium t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Potassium t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 4.8 n1: 4.8 rs: Final st: NotStopd id: Sodium t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd id: BUN (6-20) t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 123 n1: 123 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 18 n1: 18 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 5.4 n1: 5.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 4.8 n1: 4.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 10.7 n1: 10.7 rs: Final st: NotStopd id: CaO2 t0: [05:22:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 11.3893 n1: 11.3893 u1: ml/dl st: NotStopd id: WBC t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 10.7 n1: 10.7 rs: Final st: NotStopd id: Hematocrit t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 27.5 n1: 27.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 8.5 n1: 8.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 364 n1: 364 rs: Final st: NotStopd id: RBC t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 3.39 n1: 3.39 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 10.7 n1: 10.7 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 120 n1: 120 rs: Manual st: NotStopd
id: Insulin t0: [06:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Service Type t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: Heart Rate t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Rate t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: calprevflg t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Behavior t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Behavior t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.5 vu: ml id: Urine Out Foley t0: [05:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [06:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml
id: Fentanyl t0: [06:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Phosphorous t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 u1: mEq/L rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 u1: mEq/L rs: Final st: NotStopd
id: Precautions t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd
id: Service Type t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [07:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml
id: Fentanyl t0: [07:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [07:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 1:1.4 st: NotStopd id: Airway Size t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 12.4 n1: 12.4 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 1600 n1: 1600 st: NotStopd id: Ve High t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 451 n1: 451 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
pi: 4384898 hi: 10078 t0: [20:00:00 04/03/2020] tf: [11:00:00 05/03/2020] mn: Metoprolol pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 04/03/2020] el: 1 cg: RN cu: CCU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v2: 22 gauge st: NotStopd id: Activity t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: Temp. Site t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 124 n1: 124 rs: Manual st: NotStopd id: Bowel Sounds t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: TF Residual t0: [08:00:00 04/03/2020] el: 1 ai: 209 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.5 vu: ml id: Urine Out Foley t0: [08:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [08:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml
id: Fentanyl t0: [08:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [08:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 143 n1: 143 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [09:00:00 04/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.5 vu: ml id: Urine Out Foley t0: [09:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [09:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml
id: Fentanyl t0: [09:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [09:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 4385254 hi: 10078 t0: [16:00:00 04/03/2020] tf: [19:00:00 08/03/2020] mn: Aluminum Hydroxide Suspension pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4385255 hi: 10078 t0: [11:00:00 04/03/2020] tf: [00:00:00 10/03/2020] mn: Pantoprazole pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q24H ds: 11 dn: 1 di: Ongoing xu: Enter on Label
id: Service Type t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 147 n1: 147 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.5 vu: ml id: Urine Out Foley t0: [10:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [10:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml
id: Fentanyl t0: [10:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [10:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: HOB t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Position t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Back Care t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Circulation/SkinInt t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: Position Change t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Restraint Location t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Pt./Family Informed t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [10:00:00 04/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Art.pH t0: [10:38:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: CaO2 t0: [10:38:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 11.5435 n1: 11.5435 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [10:38:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [10:38:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [10:38:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [10:38:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 123 n1: 123 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [10:38:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: SaO2 t0: [10:38:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
pi: 4385267 hi: 10078 t0: [12:00:00 04/03/2020] tf: [14:00:00 05/03/2020] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 24H ds: 12 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 122 n1: 122 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [11:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml
id: Insulin t0: [11:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fentanyl t0: [11:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 70 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: Precautions t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: Precautions t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: Precautions t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: Precautions t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: Precautions t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [11:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 15 vu: ml
id: Fentanyl t0: [11:05:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 70 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:10:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 70 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:15:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 70 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:20:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:05:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:10:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:15:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:20:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [11:05:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [11:10:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [11:15:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [11:20:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [11:25:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [11:30:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 1:1.4 st: NotStopd id: Airway Size t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 13.1 n1: 13.1 u1: L/min st: NotStopd id: Apnea Time Interval t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 1600 n1: 1600 st: NotStopd id: Ve High t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Compliance (40-60ml) t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: ml/cmH st: NotStopd id: Mean Airway Pressure t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: PEEP Set t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd
pi: 4385432 hi: 10078 t0: [13:00:00 04/03/2020] tf: [20:00:00 01/04/2020] mn: Artificial Tears pt: Unit Dose st: Discontinued via patient discharge rt: OU fr: PRN di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 04/03/2020] el: 1 cg: RN cu: CCU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: GCS Total t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v2: 22 gauge st: NotStopd id: Activity t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: Temp. Site t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 35.7222 n1: 35.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 96.3 n1: 96.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 128 n1: 128 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [12:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 20 vu: ml
id: Insulin t0: [12:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: TF Residual t0: [12:00:00 04/03/2020] el: 1 ai: 209 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 6.5 vu: ml id: Nepro 10.0str t0: [12:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 30 vu: ml
id: Fentanyl t0: [11:25:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:30:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:25:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:30:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [12:27:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: CaO2 t0: [12:27:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 11.6551 n1: 11.6551 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [12:27:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:27:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:27:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:27:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 159 n1: 159 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:27:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: SaO2 t0: [12:27:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Service Type t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 111 n1: 111 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.75 vu: ml id: Urine Out Foley t0: [13:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 18 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 6.5 vu: ml id: Nepro 10.0str t0: [13:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml
id: Fentanyl t0: [13:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [13:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Arterial BP t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Skin Care t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Back Care t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.75 vu: ml id: Urine Out Foley t0: [14:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 16 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 6.5 vu: ml id: Nepro 10.0str t0: [14:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml
id: Fentanyl t0: [14:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [14:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 147 n1: 147 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.75 vu: ml id: Urine Out Foley t0: [15:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 11 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 6.5 vu: ml
id: Fentanyl t0: [15:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [15:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: Less Restrict Meas. t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 04/03/2020] el: 1 cg: RN cu: CCU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: Family Communication t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GCS Total t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: HOB t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v2: 22 gauge st: NotStopd id: Activity t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2 vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.75 vu: ml id: Urine Out Foley t0: [16:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 6.5 vu: ml id: Nepro 10.0str t0: [15:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vu: ml st: Stopped
id: Fentanyl t0: [16:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Tube Feeds In Total t0: [23:00:00 04/03/2020] el: 2 cg: RN cu: -1 cv: 290 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 32.1429 n1: 32.1429 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 1:1.4 st: NotStopd id: Airway Size t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 12.9 n1: 12.9 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 1600 n1: 1600 st: NotStopd id: Ve High t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 459 n1: 459 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [16:00:00 04/03/2020] el: 0 cg: CoWker cu: CCU v1: 147 n1: 147 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 145 n1: 145 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.75 vu: ml id: Urine Out Foley t0: [17:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 6.5 vu: ml
id: Fentanyl t0: [17:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 04/03/2020] el: 2 cg: RN cu: -1 cv: 1528.8 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 04/03/2020] el: 2 cg: RN cu: -1 cv: 1818.8 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 04/03/2020] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 04/03/2020] el: 2 cg: RN cu: -1 cv: 314 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 04/03/2020] el: 2 cg: RN cu: -1 cv: 1504.8 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 04/03/2020] el: 2 cg: RN cu: -1 cv: 1625.67 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 04/03/2020] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 04/03/2020] el: 2 cg: RN cu: -1 cv: 314 ac: 24 ap: none re: 0
id: Art.pH t0: [17:14:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: CaO2 t0: [17:14:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 11.7721 n1: 11.7721 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [17:14:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:14:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:14:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:14:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 160 n1: 160 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:14:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: SaO2 t0: [17:14:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 u1: % rs: Final st: NotStopd
id: Insulin t0: [16:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [17:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
ci: 36664 t0: 15:54:00 cu: CCU de: CSRU dt: 5272
id: Compliance (40-60ml) t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 1:1.4 st: NotStopd id: Airway Size t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 13.5 n1: 13.5 u1: L/min st: NotStopd id: PEEP Set t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [17:45:00 04/03/2020] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#2 Type/Site t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: RL Post Forearm v2: 22 gauge st: NotStopd id: Activity t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Droplet st: NotStopd id: INV#2 Dsg Change t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: Fentanyl t0: [17:45:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:45:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [17:45:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 6.75 vu: ml id: Urine Out Foley t0: [18:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml
id: Fentanyl t0: [18:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [18:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [18:41:00 04/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: Arterial Base Excess t0: [18:41:00 04/03/2020] el: 0 cg: 3161 cu: CSRU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:41:00 04/03/2020] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:41:00 04/03/2020] el: 0 cg: 3161 cu: CSRU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:41:00 04/03/2020] el: 0 cg: 3161 cu: CSRU v1: 126 n1: 126 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:41:00 04/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.27 n1: 7.27 rs: Final st: NotStopd
id: CaO2 t0: [18:41:00 04/03/2020] el: 0 cg: 3161 cu: CSRU v1: 11.6667 n1: 11.6667 u1: ml/dl st: NotStopd id: SaO2 t0: [18:41:00 04/03/2020] el: 0 cg: 3161 cu: CSRU v1: 99 n1: 99 u1: % rs: Final st: NotStopd
id: Service Type t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 6.75 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml
id: Fentanyl t0: [19:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [19:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Circulation/SkinInt t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Redness st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: RL Post Forearm v2: 22 gauge st: NotStopd id: Activity t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Pain Location t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: RLL Lung Sounds t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Sputum Source/Amt t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: None st: NotStopd id: Support Systems t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Therapeutic Bed t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Behavior t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 6.75 vu: ml id: Urine Out Foley t0: [20:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [20:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vu: ml st: Restart
id: Service Type t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [20:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 4387334 hi: 10078 t0: [21:00:00 04/03/2020] tf: [02:00:00 05/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 150 mEq Sodium Bicarbonate/ 1000 ml D5W Continuous at 200 ml/hr for 1000 ml ir: 200 it: C ss: N dt: 5 di: Hours xu: Enter on Label
id: Compliance (40-60ml) t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 34.6154 n1: 34.6154 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 1:1.5 st: NotStopd id: Airway Size t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 13.4 n1: 13.4 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 2300 n1: 2300 st: NotStopd id: Tank B psi. t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 477 n1: 477 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [21:00:00 04/03/2020] el: 0 cg: CoWker cu: CSRU v1: 152 n1: 152 rs: Manual st: NotStopd
id: Sodium Bicarbonate io: D5W 1000.0ml el: 100 cg: RN cu: CSRU am: 150 du: mEq rt: Intravenous Push
io: D5W 1000.0ml el: 1 cg: RN cu: CSRU ra: 200 ru: ml/hr
id: Service Type t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: calprevflg t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [21:00:00 04/03/2020] el: 1 ai: 106 cg: RN cu: CSRU vu: ml nb: 1 id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 6.75 vu: ml id: Urine Out Foley t0: [21:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [21:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 20 vu: ml
id: Fentanyl t0: [21:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [21:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [22:00:00 04/03/2020] el: 1 ai: 106 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 6.75 vu: ml id: Urine Out Foley t0: [22:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [22:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 20 vu: ml
id: Fentanyl t0: [22:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [22:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [23:00:00 04/03/2020] el: 1 ai: 106 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 6.75 vu: ml id: Urine Out Foley t0: [23:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [23:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 20 vu: ml
id: Fentanyl t0: [23:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [23:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 04/03/2020] el: 3 cg: RN cu: CSRU pv: 217.25 cv: 2024.3 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 04/03/2020] el: 3 cg: RN cu: CSRU pv: 237.25 cv: 2374.3 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 04/03/2020] el: 3 cg: RN cu: CSRU pv: 40 cv: 40 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 04/03/2020] el: 3 cg: RN cu: CSRU pv: 20 cv: 350 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 04/03/2020] el: 3 cg: RN cu: CSRU pv: 40 cv: 454 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 04/03/2020] el: 3 cg: RN cu: CSRU pv: 197.25 cv: 1920.3 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 04/03/2020] el: 3 cg: RN cu: CSRU pv: 197.25 cv: 2041.17 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 04/03/2020] el: 3 cg: RN cu: CSRU pv: 197.25 cv: 197.25 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 04/03/2020] el: 3 cg: RN cu: CSRU pv: 40 cv: 454 ac: 24 ap: none re: 0
id: Eye Care t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Position t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Compliance (40-60ml) t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 34.6154 n1: 34.6154 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 1:1.5 st: NotStopd id: Airway Size t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 13.1 n1: 13.1 u1: L/min st: NotStopd id: PEEP Set t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 2300 n1: 2300 st: NotStopd id: Tank B psi. t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 540 n1: 540 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Heart Rate t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Redness st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: Abdominal Assessment t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: RL Post Forearm v2: 22 gauge st: NotStopd id: IV Site Appear #1 t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: Precautions t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Droplet st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Gastric Meds t0: [00:00:00 05/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 40 vu: ml id: D5W 1000.0ml t0: [00:00:00 05/03/2020] el: 1 ai: 106 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 6.75 vu: ml id: Urine Out Foley t0: [00:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [00:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 20 vu: ml
id: Fentanyl t0: [00:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: TF Residual t0: [00:00:00 05/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 5 vu: ml
id: Insulin t0: [00:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [01:00:00 05/03/2020] el: 1 ai: 106 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 6.75 vu: ml id: Urine Out Foley t0: [01:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml
id: Fentanyl t0: [01:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 6.75 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [01:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: Nepro 10.0str t0: [02:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml
id: Insulin t0: [01:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [02:00:00 05/03/2020] el: 0 cg: CoWker cu: CSRU v1: 220 n1: 220 rs: Manual st: NotStopd
id: Service Type t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [02:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Midazolam t0: [02:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [02:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fentanyl t0: [02:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 70 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Precautions t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd
id: Service Type t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 6.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml id: Urine Out Foley t0: [03:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [03:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml
id: Midazolam t0: [03:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [03:13:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.29 n1: 7.29 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:13:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: -4 n1: -4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:13:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:13:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:13:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:13:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.29 n1: 7.29 rs: Final st: NotStopd
id: Fentanyl t0: [03:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Insulin t0: [03:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 13 n1: 13 rs: Final st: NotStopd id: WBC t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 13 n1: 13 rs: Final st: NotStopd id: Hematocrit t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 26.6 n1: 26.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.5 n1: 8.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 350 n1: 350 rs: Final st: NotStopd id: RBC t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.31 n1: 3.31 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 13 n1: 13 rs: Final st: NotStopd
id: BUN t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 133 n1: 133 rs: Final st: NotStopd id: Calcium t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd id: Glucose t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: Magnesium t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Phosphorous t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd id: BUN (6-20) t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 133 n1: 133 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd
id: IV #1 Reason DC'D t0: [04:00:00 05/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 D/C Date t0: [04:00:00 05/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 Insert Date t0: [04:00:00 05/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 Site/Size t0: [04:00:00 05/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #1 t0: [04:00:00 05/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Fingerstick Glucose t0: [04:00:00 05/03/2020] el: 0 cg: CoWker cu: CSRU v1: 157 n1: 157 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Compliance (40-60ml) t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 34.6154 n1: 34.6154 u1: ml/cmH st: NotStopd id: Riker-SAS Scale t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 05/03/2020] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: ETT Mark/Location t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 27cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: High Insp. Pressure t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 1:1.5 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Redness st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Redness st: NotStopd id: Abdominal Assessment t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Airway Size t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: LLL Lung Sounds t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 13.3 n1: 13.3 u1: L/min st: NotStopd id: Motor Response t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: PEEP Set t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 st: NotStopd id: Arterial BP t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Position t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Pattern t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 2300 n1: 2300 st: NotStopd id: Tank B psi. t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 st: NotStopd id: Restraint Location t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Sensitivity-Vent t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Side Rails t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 513 n1: 513 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Turn t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Mode t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Waveform-Vent t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: RAMP st: NotStopd id: calprevflg t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [04:00:00 05/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 1000.0ml t0: [02:00:00 05/03/2020] el: 1 ai: 106 cg: RN cu: CSRU vo: 200 vu: ml st: Stopped id: D5W 1000.0ml t0: [03:00:00 05/03/2020] el: 1 ai: 106 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [04:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml
id: Fentanyl t0: [04:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [04:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: RSBI Not Completed t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: PEEP >10 st: NotStopd
id: Service Type t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [05:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [05:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 9 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [06:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 13 vu: ml id: Nepro 10.0str t0: [06:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml
id: Fentanyl t0: [06:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [06:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 rs: Manual st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [07:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [07:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [07:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 4388563 hi: 10078 t0: [08:00:00 05/03/2020] tf: [07:00:00 06/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml LR Bolus 200 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Less Restrict Meas. t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Arterial BP t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Previous Weight t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Significant Events t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: Skin Care t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: BSA - English t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1.47961 n1: 1.47961 u1: m2 st: NotStopd id: BSA - Metric t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1.7221 n1: 1.7221 u1: m2 st: NotStopd id: Verbal Response t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Weight Change t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Daily Weight t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 rs: Manual st: NotStopd id: Bowel Sounds t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Lactated Ringers t0: [07:00:00 05/03/2020] el: 1 ai: 106 cg: RN cu: CSRU vo: 1000 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [07:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 65 vu: ml
id: Fentanyl t0: [08:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [08:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 32.1429 n1: 32.1429 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 12.8 n1: 12.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 2500 n1: 2500 st: NotStopd id: Tank B psi. t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 471 n1: 471 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [08:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: Urine Out Foley t0: [09:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 26 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [08:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro 10.0str t0: [09:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [09:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [09:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Service Type t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: Family Communication t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: HOB t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Rate t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: calprevflg t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Gastric Meds t0: [08:00:00 05/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [10:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [10:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [10:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 rs: Manual st: NotStopd
pi: 4389216 hi: 10078 t0: [20:00:00 05/03/2020] tf: [16:00:00 05/03/2020] mn: Tacrolimus pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4389217 hi: 10078 t0: [20:00:00 05/03/2020] tf: [12:00:00 28/03/2020] mn: Docusate Sodium (Liquid) pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 rs: Manual st: NotStopd
id: Gastric Meds t0: [11:00:00 05/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 55 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [11:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [11:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [11:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: GI Prophylaxis t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Education Barrier t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Coping st: NotStopd id: Eye Opening t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: GCS Total t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Abdominal Assessment t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: RLL Lung Sounds t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Urine Color/Appear t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: Compliance (40-60ml) t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 37.5 n1: 37.5 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 16.2 n1: 16.2 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 451 n1: 451 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Service Type t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough/Deep Breathe t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Risk for Falls t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: Education Topic #1 t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: HOB t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Reason For Restraint t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Rate t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Support Systems t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Back Care t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Braden Activity t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 47 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [12:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [12:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [12:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 4389443 hi: 10078 t0: [13:00:00 05/03/2020] tf: [00:00:00 21/03/2020] mn: Heparin Flush CVL (100 units/ml) pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Position Change t0: [13:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Done st: NotStopd id: Ectopy Frequency t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: FiO2 Set t0: [13:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Size t0: [13:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [13:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [13:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Arterial BP t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: Previous WeightF t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Ventilator Type t0: [13:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [14:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 55 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [13:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro 10.0str t0: [14:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [13:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [13:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [14:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Level/Response t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 3-Mild to Mod st: NotStopd id: Pain Present t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Present t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: GCS Total t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Pain Cause t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Situational st: NotStopd id: Pain Location t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Neck st: NotStopd id: Pain Location t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [12:00:00 05/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Arterial BP Mean t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Therapeutic Bed t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 rs: Manual st: NotStopd id: Bowel Sounds t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [15:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [15:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [15:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [14:54:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:54:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: -3 n1: -3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:54:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:54:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:54:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:54:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 rs: Final st: NotStopd
id: BUN t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 130 n1: 130 rs: Final st: NotStopd id: Calcium t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd id: Glucose t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 91 n1: 91 rs: Final st: NotStopd id: Magnesium t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Phosphorous t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd id: BUN (6-20) t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 130 n1: 130 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd id: Glucose (70-105) t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 91 n1: 91 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd
pi: 4390140 hi: 10078 t0: [22:00:00 05/03/2020] tf: [17:00:00 09/03/2020] mn: Tacrolimus pt: Unit Dose st: Discontinued rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4390141 hi: 10078 t0: [08:00:00 05/03/2020] tf: [17:00:00 09/03/2020] mn: Tacrolimus pt: Unit Dose st: Discontinued rt: PO fr: QAM ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: calprevflg t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 124 n1: 124 rs: Manual st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 05/03/2020] el: 1 ai: 112 cg: PCT cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 05/03/2020] el: 1 cg: PCT cu: CSRU vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 05/03/2020] el: 1 ai: 338 cg: PCT cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [16:00:00 05/03/2020] el: 1 ai: 168 cg: PCT cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [16:00:00 05/03/2020] el: 1 cg: PCT cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 05/03/2020] el: 1 cg: PCT cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [16:00:00 05/03/2020] el: 1 cg: PCT cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 05/03/2020] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 05/03/2020] el: 3 cg: RN cu: CSRU pv: 45 cv: 965 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 05/03/2020] el: 3 cg: RN cu: CSRU cv: 1198 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 05/03/2020] el: 3 cg: RN cu: CSRU cv: 1198 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Circulation/SkinInt t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Alarms t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: Education Topic #1 t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Pain Location t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position Change t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Restraint Location t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Sputum Color/Consist t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Pt./Family Informed t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Braden Activity t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Gastric Meds t0: [16:00:00 05/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3 vu: ml
id: IV Infusion In Total t0: [23:00:00 05/03/2020] el: 3 cg: RN cu: CSRU pv: 23.5 cv: 2085 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 05/03/2020] el: 3 cg: RN cu: CSRU pv: 68.5 cv: 3350 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 05/03/2020] el: 3 cg: RN cu: CSRU cv: 300 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 05/03/2020] el: 3 cg: RN cu: CSRU pv: 68.5 cv: 2152 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 05/03/2020] el: 3 cg: RN cu: CSRU pv: 68.5 cv: 4193.17 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 05/03/2020] el: 3 cg: RN cu: CSRU pv: 68.5 cv: 68.5 ac: 1 ap: none re: 0
id: Radiologic Study t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd
id: Compliance (40-60ml) t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 37.5 n1: 37.5 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 14.3 n1: 14.3 u1: L/min st: NotStopd id: PEEP Set t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 482 n1: 482 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Arterial BP t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Therapeutic Bed t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml id: Nepro 10.0str t0: [17:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [17:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [17:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#2 Type/Site t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: Arterial BP t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: INV#2 Cap Change t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: calprevflg t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml id: Nepro 10.0str t0: [18:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [18:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [18:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 4390763 hi: 10078 t0: [19:00:00 05/03/2020] tf: [20:00:00 05/03/2020] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 150 mEq Sodium Bicarbonate/ 1000 ml D5W Continuous at 500 ml/hr for 500 ml ir: 500 it: C ss: N dt: 1 di: Hours xu: Enter on Label
id: Less Restrict Meas. t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Service Type t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Heart Rate t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Rate t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: calprevflg t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 rs: Manual st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [19:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml id: Nepro 10.0str t0: [19:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [19:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: SpO2 t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd
id: Compliance (40-60ml) t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 37.5 n1: 37.5 u1: ml/cmH st: NotStopd id: High Insp. Pressure t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 13.9 n1: 13.9 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: I:E Ratio t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 1:1.5 st: NotStopd id: Tank A psi. t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 2400 n1: 2400 st: NotStopd
id: Pain Present t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GI Intub #1/Site t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Oral Cavity t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Sputum Color/Consist t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Temp. Site t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Urine Source t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml id: Nepro 10.0str t0: [20:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [20:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Circulation/SkinInt t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: Education Topic #1 t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Position t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Reason For Restraint t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Restraint Location t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Therapeutic Bed t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: In-Line Sx Change t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Behavior t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Braden Activity t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Urine Out Foley t0: [20:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Fingerstick Glucose t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 rs: Manual st: NotStopd
id: Service Type t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Arterial BP t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:30:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:30:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [19:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [20:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [20:30:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: FiO2 Set t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Urine Color/Appear t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: calprevflg t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml id: Nepro 10.0str t0: [21:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [21:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 172 n1: 172 rs: Manual st: NotStopd
id: Insulin t0: [21:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Gastric Meds t0: [20:00:00 05/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 60 vu: ml
id: Lactated Ringers t0: [22:00:00 05/03/2020] el: 1 ai: 106 cg: -1 cu: CSRU vo: 0 st: D/C'd id: D5W 1000.0ml t0: [22:00:00 05/03/2020] el: 1 ai: 106 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Arterial BP t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Precautions t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: In-Line Sx Change t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: calprevflg t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 173 n1: 173 rs: Manual st: NotStopd
id: Gastric Meds t0: [22:00:00 05/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml id: Nepro 10.0str t0: [22:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [22:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [22:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Circulation/SkinInt t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Pain Management t0: [20:00:00 05/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position Change t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Restraint Location t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: TF Residual t0: [20:00:00 05/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml
id: GCS Total t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: Motor Response t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Pain Cause t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Situational st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 126 n1: 126 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [00:00:00 06/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Arterial BP Mean t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Previous Weight t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: Previous WeightF t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Side Rails t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml id: Nepro 10.0str t0: [00:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro 10.0str t0: [23:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [23:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [00:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [23:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Riker-SAS Scale t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd
id: Midazolam t0: [00:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fentanyl t0: [00:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 34.6154 n1: 34.6154 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 1:1.5 st: NotStopd id: Airway Size t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 13.1 n1: 13.1 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 515 n1: 515 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Arterial BP t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 126 n1: 126 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 06/03/2020] el: 1 ai: 109 cg: CoWker cu: CSRU vo: 5.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 06/03/2020] el: 1 ai: 112 cg: CoWker cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [01:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 06/03/2020] el: 1 ai: 338 cg: CoWker cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [01:00:00 06/03/2020] el: 1 ai: 168 cg: CoWker cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [01:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [01:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 5.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: bath t0: [01:30:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Done id: HOB t0: [01:30:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [01:30:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:30:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Tolerated Well st: NotStopd id: Position t0: [01:30:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [01:30:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [01:30:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [01:30:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:30:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [01:30:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Done st: NotStopd
id: Heart Rhythm t0: [01:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Oral Care t0: [01:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Sputum Color/Consist t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Service Type t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [02:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [02:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml nb: 1
id: Fentanyl t0: [02:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [02:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 110 n1: 110 rs: Manual st: NotStopd
id: Insulin t0: [02:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 108 n1: 108 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 06/03/2020] el: 1 ai: 109 cg: CoWker cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 06/03/2020] el: 1 ai: 112 cg: CoWker cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [03:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 06/03/2020] el: 1 ai: 338 cg: CoWker cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [03:00:00 06/03/2020] el: 1 ai: 168 cg: CoWker cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [03:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [03:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 108 n1: 108 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 06/03/2020] el: 1 ai: 109 cg: CoWker cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 06/03/2020] el: 1 ai: 112 cg: CoWker cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [04:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 06/03/2020] el: 1 ai: 338 cg: CoWker cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [04:00:00 06/03/2020] el: 1 ai: 168 cg: CoWker cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [04:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [04:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Alarms t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: HOB t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Oral Care t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Skin Care t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2 Cap Change t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Therapeutic Bed t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Back Care t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: WBC (4-11,000) t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 11.1 n1: 11.1 rs: Final st: NotStopd id: WBC t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 11.1 n1: 11.1 rs: Final st: NotStopd id: Hematocrit t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 25.5 n1: 25.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.5 n1: 8.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 312 n1: 312 rs: Final st: NotStopd id: RBC t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.24 n1: 3.24 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 11.1 n1: 11.1 rs: Final st: NotStopd
id: BUN t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd id: Calcium t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.2 n1: 7.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.8 n1: 5.8 rs: Final st: NotStopd id: Glucose t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 94 n1: 94 rs: Final st: NotStopd id: Magnesium t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Phosphorous t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 6.7 n1: 6.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd id: BUN (6-20) t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.2 n1: 7.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.8 n1: 5.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 94 n1: 94 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 6.7 n1: 6.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 34.6154 n1: 34.6154 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 1:1.5 st: NotStopd id: Airway Size t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 13.2 n1: 13.2 u1: L/min st: NotStopd id: PEEP Set t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 445 n1: 445 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 06/03/2020] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 06/03/2020] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Heart Rate t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Abdominal Assessment t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [04:00:00 06/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Pain Type t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [05:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [05:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [05:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [05:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Spon RR (Mech.) t0: [06:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [06:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 0.25 n1: 0.25 u1: L st: NotStopd
id: Service Type t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 111 n1: 111 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 06/03/2020] el: 1 ai: 109 cg: CoWker cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 06/03/2020] el: 1 ai: 112 cg: CoWker cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [06:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 06/03/2020] el: 1 ai: 338 cg: CoWker cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [06:00:00 06/03/2020] el: 1 ai: 168 cg: CoWker cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [06:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Insulin t0: [06:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Circulation/SkinInt t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: Education Topic #1 t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Position Change t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Restraint Location t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Pt./Family Informed t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Service Type t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [07:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [07:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Insulin t0: [07:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 32.1429 n1: 32.1429 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 11.7 n1: 11.7 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 486 n1: 486 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 06/03/2020] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [08:00:00 06/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Verbal Response t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 rs: Manual st: NotStopd id: Bowel Sounds t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Gastric Meds t0: [08:00:00 06/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: GT Flush t0: [08:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [08:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [08:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [08:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [08:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: CVP t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: Previous WeightF t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [10:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 185 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [09:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro 10.0str t0: [10:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [09:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [09:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [10:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: D5W 100.0ml t0: [10:00:00 06/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Fingerstick Glucose t0: [10:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 106 n1: 106 rs: Manual st: NotStopd
pi: 4392916 hi: 10078 t0: [14:00:00 06/03/2020] tf: [15:00:00 06/03/2020] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [11:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [11:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [11:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 14.5 n1: 14.5 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 1 n1: 1 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: Drager st: NotStopd
id: PEEP Set t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd
id: Art.pH t0: [12:01:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: Arterial Base Excess t0: [12:01:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:01:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:01:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 53 n1: 53 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:01:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 68 n1: 68 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:01:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.27 n1: 7.27 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 06/03/2020] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: GCS Total t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [12:00:00 06/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [12:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 23 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [12:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [12:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 06/03/2020] el: 3 cg: RN cu: CSRU pv: 26.5 cv: 696 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 06/03/2020] el: 3 cg: RN cu: CSRU pv: 60 cv: 60 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 06/03/2020] el: 3 cg: RN cu: CSRU pv: 45 cv: 1080 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 06/03/2020] el: 3 cg: RN cu: CSRU pv: 60 cv: 1483 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 06/03/2020] el: 3 cg: RN cu: CSRU pv: 60 cv: 1483 ac: 24 ap: carryForward re: 0
id: Compliance (40-60ml) t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 28.125 n1: 28.125 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 17.2 n1: 17.2 u1: L/min st: NotStopd id: Apnea Time Interval t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Pressure Support t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 586 n1: 586 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: RAMP st: NotStopd
id: Gastric Meds t0: [12:00:00 06/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 30 vu: ml
id: 24h Total In t0: [23:00:00 06/03/2020] el: 3 cg: RN cu: CSRU pv: 71.5 cv: 2046 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 06/03/2020] el: 3 cg: RN cu: CSRU cv: 270 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 06/03/2020] el: 3 cg: RN cu: CSRU pv: 11.5 cv: 563 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 06/03/2020] el: 3 cg: RN cu: CSRU pv: 11.5 cv: 4756.17 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 06/03/2020] el: 3 cg: RN cu: CSRU pv: 11.5 cv: 11.5 ac: 1 ap: none re: 0
id: Fingerstick Glucose t0: [13:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 140 n1: 140 rs: Manual st: NotStopd
id: Urine Out Foley t0: [13:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 50 vu: ml
id: Fingerstick Glucose t0: [14:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd
id: Urine Out Foley t0: [14:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 60 vu: ml
id: Service Type t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: Previous WeightF t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [13:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro 10.0str t0: [14:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [13:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [15:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4393744 hi: 10078 t0: [20:00:00 06/03/2020] tf: [12:00:00 08/03/2020] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 06/03/2020] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: GCS Total t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 06/03/2020] el: 0 cg: RN