This log is also available as text (223ac.txt) and as a (binary) annotation file (223ac.log).
Generated: Thursday, 23-Apr-2009 00:35:46 EDT
(All dates below are surrogates.)
id: SAPS-I t0: [00:00:00 26/12/2018] el: 0 cg: LCP cu: LCP at MIT n1: 22
id: Hematocrit t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 37.6 n1: 37.6 u1: % rs: Manual st: NotStopd id: Hemoglobin t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 13.1 n1: 13.1 u1: gm/dl rs: Manual st: NotStopd id: Platelets t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 245 n1: 245 rs: Manual st: NotStopd
id: WBC (4-11,000) t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 14.3 n1: 14.3 rs: Manual st: NotStopd id: BUN t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 rs: Manual st: NotStopd id: PT t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 12.7 n1: 12.7 rs: Manual st: NotStopd id: Chloride t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 105 n1: 105 rs: Manual st: NotStopd id: Creatinine t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 0.9 n1: 0.9 rs: Manual st: NotStopd id: Glucose t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 138 n1: 138 rs: Manual st: NotStopd id: INR t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1.1 n1: 1.1 rs: Manual st: NotStopd id: Magnesium t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 2.2 n1: 2.2 rs: Manual st: NotStopd id: PTT t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 87.2 n1: 87.2 rs: Manual st: NotStopd id: Phosphorous t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 4.3 n1: 4.3 u1: mEq/L rs: Manual st: NotStopd id: Potassium t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 4.1 n1: 4.1 rs: Manual st: NotStopd id: Sodium t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 140 n1: 140 rs: Manual st: NotStopd id: WBC t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 14.3 n1: 14.3 rs: Manual st: NotStopd id: BUN (6-20) t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 rs: Manual st: NotStopd id: CPK/MB t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 rs: Manual st: NotStopd id: Carbon Dioxide t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 rs: Manual st: NotStopd id: Chloride (100-112) t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 105 n1: 105 rs: Manual st: NotStopd id: Creatinine (0-1.3) t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 0.9 n1: 0.9 rs: Manual st: NotStopd id: Glucose (70-105) t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 138 n1: 138 rs: Manual st: NotStopd id: INR (2-4 ref. range) t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1.1 n1: 1.1 rs: Manual st: NotStopd id: Magnesium (1.6-2.6) t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 2.2 n1: 2.2 rs: Manual st: NotStopd id: PT(11-13.5) t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 12.7 n1: 12.7 rs: Manual st: NotStopd id: PTT(22-35) t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 87.2 n1: 87.2 rs: Manual st: NotStopd id: Phosphorous(2.7-4.5) t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 4.3 n1: 4.3 u1: mEq/L rs: Manual st: NotStopd id: Potassium (3.5-5.3) t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 4.1 n1: 4.1 rs: Manual st: NotStopd id: Sodium (135-148) t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 140 n1: 140 rs: Manual st: NotStopd id: Troponin t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 0.22 n1: 0.22 rs: Manual st: NotStopd id: WBC (4-11,000) t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 14.3 n1: 14.3 rs: Manual st: NotStopd
id: Potassium t0: [21:45:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 3.5 n1: 3.5 rs: Manual st: NotStopd id: Potassium (3.5-5.3) t0: [21:45:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 3.5 n1: 3.5 rs: Manual st: NotStopd
id: Art.pH t0: [22:26:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.16 n1: 7.16 rs: Final st: NotStopd id: Arterial Base Excess t0: [22:26:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: -8 n1: -8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:26:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:26:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 60 n1: 60 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:26:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 248 n1: 248 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:26:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.16 n1: 7.16 rs: Final st: NotStopd
id: CaO2 t0: [22:26:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 17.7962 n1: 17.7962 u1: ml/dl st: NotStopd id: Glucose t0: [22:26:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 310 n1: 310 rs: Final st: NotStopd id: Lactic Acid t0: [22:26:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 6.6 n1: 6.6 rs: Final st: NotStopd id: Potassium t0: [22:26:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [22:26:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 310 n1: 310 rs: Final st: NotStopd id: Hematocrit t0: [22:26:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 u1: % rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [22:26:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 6.6 n1: 6.6 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [22:26:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: SaO2 t0: [22:26:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Art.pH t0: [21:45:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 7.15 n1: 7.15 rs: Manual st: NotStopd id: CaO2 t0: [21:45:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 15.649 n1: 15.649 u1: ml/dl st: NotStopd id: Arterial CO2(Calc) t0: [21:45:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 rs: Manual st: NotStopd id: Arterial PaCO2 t0: [21:45:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg rs: Manual st: NotStopd id: Arterial PaO2 t0: [21:45:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg rs: Manual st: NotStopd id: Arterial pH t0: [21:45:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 7.15 n1: 7.15 rs: Manual st: NotStopd id: SaO2 t0: [21:45:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % rs: Manual st: NotStopd
id: Art.pH t0: [23:00:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.01 n1: 7.01 rs: Final st: NotStopd id: CaO2 t0: [23:00:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 6.77902 n1: 6.77902 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [23:00:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: -14 n1: -14 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:00:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:00:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 81 n1: 81 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:00:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:00:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.01 n1: 7.01 rs: Final st: NotStopd id: SaO2 t0: [23:00:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 38 n1: 38 u1: % rs: Final st: NotStopd
id: Art.pH t0: [23:26:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.03 n1: 7.03 rs: Final st: NotStopd id: CaO2 t0: [23:26:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 17.9388 n1: 17.9388 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [23:26:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: -17 n1: -17 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:26:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:26:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 52 n1: 52 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:26:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 294 n1: 294 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:26:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.03 n1: 7.03 rs: Final st: NotStopd id: SaO2 t0: [23:26:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Levophed-k io: D5W 250.0ml + 8mcgkgmin Levophed-k el: 100 cg: RN cu: CCU am: 8 du: mcgkgmin rt: IV Drip id: Midazolam io: .9% Normal Saline 50.0ml + 50mghr Midazolam el: 100 cg: RN cu: CCU am: 50 du: mghr rt: IV Drip id: Dobutamine io: D5W 250.0ml + 250mcgkgmin Dobutamine el: 100 cg: RN cu: CCU am: 250 du: mcgkgmin rt: IV Drip id: Dopamine io: D5W 250.0ml + 400mcgkgmin Dopamine el: 100 cg: RN cu: CCU am: 400 du: mcgkgmin rt: IV Drip
pi: 4366660 hi: 19952 t0: [01:00:00 27/12/2018] tf: [02:00:00 27/12/2018] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml 1/2NS Continuous at 1000 ml/hr for 500 ml ir: 1000 it: C ss: N dt: 0 di: Hours xu: Enter on Label pi: 4366661 hi: 19952 t0: [01:00:00 27/12/2018] tf: [07:00:00 11/01/2019] mn: Atropine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: X1:PRN di: Ongoing xv: 36 xu: Hours pi: 4366662 hi: 19952 t0: [10:00:00 27/12/2018] tf: [18:00:00 22/01/2019] mn: Clopidogrel Bisulfate pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4366663 hi: 19952 t0: [10:00:00 27/12/2018] tf: [08:00:00 28/12/2018] mn: Aspirin EC pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 14.7059 n1: 14.7059 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 1.9 n1: 1.9 st: NotStopd id: Airway Size t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 16.5 n1: 16.5 u1: L/min st: NotStopd id: PEEP Set t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 39 n1: 39 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Plateau-Off t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: Resp Rate (Spont) t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 596 n1: 596 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:45:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
pi: 4366715 hi: 19952 t0: [02:00:00 27/12/2018] tf: [18:00:00 22/01/2019] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4366716 hi: 19952 t0: [02:00:00 27/12/2018] tf: [15:00:00 29/12/2018] mn: Norepinephrine pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 4366717 hi: 19952 t0: [02:00:00 27/12/2018] tf: [20:00:00 01/01/2019] mn: DOPamine pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4366718 hi: 19952 t0: [02:00:00 27/12/2018] tf: [10:00:00 28/12/2018] mn: DOBUTamine pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: INFUSION di: Ongoing xv: 36 xu: Hours pi: 4366719 hi: 19952 t0: [02:00:00 27/12/2018] tf: [00:00:00 29/12/2018] mn: Heparin pt: IV Piggyback st: Discontinued rt: IV fr: ASDIR it: N ss: Y di: Ongoing xv: 36 xu: Hours pi: 4366749 hi: 19952 t0: [10:00:00 27/12/2018] tf: [18:00:00 22/01/2019] mn: Atorvastatin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4366776 hi: 19952 t0: [02:00:00 27/12/2018] tf: [19:00:00 08/01/2019] mn: Fentanyl Citrate pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 4366777 hi: 19952 t0: [02:00:00 27/12/2018] tf: [19:00:00 08/01/2019] mn: Midazolam HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4366795 hi: 19952 t0: [02:00:00 27/12/2018] tf: [01:00:00 28/12/2018] mn: Sodium Bicarbonate pt: IV Large Volume st: Expired rt: IV fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Heart Rate t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: IABP setting t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: NBP t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: PAP Mean t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP S/D t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Assisted Systole t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Augmented Diastole t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg st: NotStopd id: Respiratory Rate t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: BAEDP t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Systolic Unloading t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: % st: NotStopd id: Arterial BP #2 t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: calprevflg t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Code Status t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Precautions t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd
id: Levophed-k t0: [01:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [01:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [01:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 20 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Pain Location t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: INV Line#1 Type/Site t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bleeding st: NotStopd
id: INV Line#3 Type/Site t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#4 Type/Site t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Right Femoral st: NotStopd id: INV Line#4InsertDate t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#5 Type/Site t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#5InsertDate t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd
id: Art.pH t0: [01:29:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.06 n1: 7.06 rs: Final st: NotStopd id: Lactic Acid t0: [01:29:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 rs: Final st: NotStopd id: Arterial Base Excess t0: [01:29:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: -17 n1: -17 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [01:29:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd id: Arterial PaCO2 t0: [01:29:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [01:29:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 212 n1: 212 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [01:29:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.06 n1: 7.06 rs: Final st: NotStopd id: Hematocrit t0: [01:29:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 u1: % rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [01:29:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 rs: Final st: NotStopd id: SaO2 t0: [01:29:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Service Type t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Ectopy Frequency t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 27/12/2018] 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 27/12/2018] 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 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd
id: FiO2 Set t0: [02:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 0.65 n1: 0.65 u1: torr st: NotStopd
id: Blood Products t0: [01:44:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: Y rs: Final st: NotStopd
id: WBC (4-11,000) t0: [01:23:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 18 n1: 18 rs: Final st: NotStopd id: CaO2 t0: [01:29:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 9.193 n1: 9.193 u1: ml/dl st: NotStopd id: WBC t0: [01:23:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 18 n1: 18 rs: Final st: NotStopd id: Hematocrit t0: [01:23:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 20.8 n1: 20.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [01:23:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 6.5 n1: 6.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [01:23:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 188 n1: 188 rs: Final st: NotStopd id: RBC t0: [01:23:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.17 n1: 2.17 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [01:23:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 18 n1: 18 rs: Final st: NotStopd
id: Service Type t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: IABP setting t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: PAP S/D t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 27/12/2018] 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 27/12/2018] 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 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: BAEDP t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Systolic Unloading t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: % st: NotStopd id: Arterial BP #2 t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: calprevflg t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [02:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [02:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [02:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 20 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Fentanyl io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl el: 100 cg: RN cu: CCU am: 2500 du: mcghr rt: IV Drip id: Sodium Bicarbonate io: D5W el: 100 cg: RN cu: CCU am: 150 du: mEq rt: Intravenous Push
io: D5W el: 1 cg: RN cu: CCU ra: 250 ru: ml/hr io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl el: 1 cg: RN cu: CCU ra: 5 ru: ml/hr
id: Cardiac Index t0: [01:29:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2.28261 n1: 2.28261 u1: ... st: NotStopd id: DO2I t0: [01:29:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 205.2 n1: 205.2 u1: ml/m/m st: NotStopd id: SpO2 t0: [01:29:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Mixed Venous O2% Sat t0: [01:29:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 35 n1: 35 rs: Manual st: NotStopd id: C.O. (fick) t0: [01:29:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 4.1915 n1: 4.1915 u1: L/min st: NotStopd
id: Urine Out Foley t0: [02:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [01:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [01:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [01:00:00 27/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: Fentanyl t0: [02:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: PT t0: [01:23:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 17.9 n1: 17.9 rs: Final st: NotStopd id: INR t0: [01:23:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [01:23:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: PT(11-13.5) t0: [01:23:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 17.9 n1: 17.9 rs: Final st: NotStopd
id: Temp. Site t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temp. Site t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 33.0556 n1: 33.0556 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 33.7222 n1: 33.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 91.5 n1: 91.5 u1: Deg. F st: NotStopd id: Temperature F t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 92.7 n1: 92.7 u1: Deg. F st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [02:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 52.5 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [02:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10.5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [02:00:00 27/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 65.625 vu: ml
id: D5W t0: [01:00:00 27/12/2018] el: 1 ai: 168 cg: RN cu: CCU vu: ml nb: 1 id: D5W t0: [02:00:00 27/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 250 vu: ml
id: Radiologic Study t0: [02:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Chest Xray st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:30:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vu: ml nb: 1 id: Packed RBC's t0: [02:30:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vu: ml uu: Units nb: 1
id: Blood Products t0: [02:55:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: Y rs: Final st: NotStopd
id: Diet Type t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Eye Opening t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: Abdominal Assessment t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Firm Distended st: NotStopd id: LLE Temp/Color t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Cold v2: Pale st: NotStopd id: LLE Temp/Color t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: LUE Temp/Color t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: LUE Temp/Color t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: Level of Conscious t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Angio Appearance #1 t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Appearance #1 t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Motor Response t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [03:00:00 27/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: NBP Mean t0: [03:00:00 27/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Angio Dressing #1 t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #1 t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Cavity t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PostTib. Pulses R/L t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RLE Temp/Color t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Cold v2: Pale st: NotStopd id: RLE Temp/Color t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: Respiratory Pattern t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Verbal Response t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
pi: 4366913 hi: 19952 t0: [04:00:00 27/12/2018] tf: [08:00:00 27/12/2018] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 150 mEq Sodium Bicarbonate/ 1000 ml D5W Continuous at 250 ml/hr for 1000 ml ir: 250 it: C ss: N dt: 4 di: Hours xu: Enter on Label pi: 4366914 hi: 19952 t0: [04:00:00 27/12/2018] tf: [08:00:00 28/12/2018] mn: Pantoprazole pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q12H ds: 4, 16 dn: 2 di: Ongoing xu: Enter on Label
id: Dorsal PedPulse R/L t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Angio Appearance #2 t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Hematoma st: NotStopd id: Angio Appearance #2 t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Hematoma st: NotStopd id: Angio Dressing #2 t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Site #2 t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Angio Site #2 t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd
id: Range of Motion t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Family Communication t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: Position Change t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Behavior t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Braden Activity t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: HOB t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Flat in Bed st: NotStopd id: HOB t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Activity t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: KneeImmobilizer/Loc t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: Therapeutic Bed t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: WarmingDevice/Status t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bair Hugger v2: On st: NotStopd
id: INV Line#2 Zero/Cal t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV#1 WaveformAppear t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd
id: INV Line#4SiteAppear t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bleeding st: NotStopd
id: INV Line#3SiteAppear t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#5 Zero/Cal t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#5SiteAppear t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bleeding st: NotStopd id: INV#5 WaveformAppear t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd
id: Service Type t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: IABP setting t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 27/12/2018] 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 27/12/2018] 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 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Respiratory Rate t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: BAEDP t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: SpO2 t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: % st: NotStopd id: Arterial BP #2 t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: calprevflg t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [03:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [03:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [03:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 20 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Dorsal PedPulse R/L t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: LLE Temp/Color t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LUE Temp/Color t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: Angio Appearance #1 t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Appearance #2 t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Hematoma st: NotStopd id: Angio Dressing #1 t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Site #1 t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PostTib. Pulses R/L t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RLE Temp/Color t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [03:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 52.5 vu: ml id: D5W t0: [03:00:00 27/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 250 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [03:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10.5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [03:00:00 27/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 65.625 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [03:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 335 vu: ml
id: LLL Lung Sounds t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Bowel Sounds t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Absent st: NotStopd
id: GI#1 Intub Site t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Low Intermittent v2: Brown st: NotStopd id: Urine Color/Appear t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd
id: LLL Lung Sounds t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 17.8571 n1: 17.8571 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: FiO2> 60% st: NotStopd id: ETT Mark/Location t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 0.65 n1: 0.65 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 1.9 n1: 1.9 st: NotStopd id: Airway Size t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 14.4 n1: 14.4 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau-Off t0: [00:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: Yes st: NotStopd id: Plateau-Off t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: Yes st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 2600 n1: 2600 st: NotStopd id: Tank B psi. t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Ve High t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 502 n1: 502 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 27/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Art.pH t0: [03:44:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:44:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: -8 n1: -8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:44:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 18 n1: 18 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:44:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 38 n1: 38 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:44:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 112 n1: 112 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:44:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.27 n1: 7.27 rs: Final st: NotStopd
id: Cardiac Index t0: [03:44:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2.82609 n1: 2.82609 u1: ... st: NotStopd id: SpO2 t0: [03:44:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Mixed Venous O2% Sat t0: [03:44:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 49 n1: 49 rs: Manual st: NotStopd id: C.O. (fick) t0: [03:44:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 5.17773 n1: 5.17773 u1: L/min st: NotStopd
pi: 4367043 hi: 19952 t0: [05:00:00 27/12/2018] tf: [04:00:00 28/12/2018] mn: Thrombin pt: Unit Dose st: Expired rt: TP fr: ONCE MR1 ds: 5 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4367053 hi: 19952 t0: [05:00:00 27/12/2018] tf: [04:00:00 28/12/2018] mn: Insulin pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 4367054 hi: 19952 t0: [05:00:00 27/12/2018] tf: [04:00:00 28/12/2018] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 5 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4367061 hi: 19952 t0: [05:00:00 27/12/2018] tf: [04:00:00 28/12/2018] mn: Magnesium Sulfate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 5 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4367062 hi: 19952 t0: [05:00:00 27/12/2018] tf: [04:00:00 28/12/2018] mn: Calcium Gluconate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 5 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: IABP setting t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 27/12/2018] 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 27/12/2018] 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 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Respiratory Rate t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: BAEDP t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Systolic Unloading t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: % st: NotStopd id: Arterial BP #2 t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: calprevflg t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [04:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [04:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [04:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 20 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [04:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 52.5 vu: ml id: D5W t0: [04:00:00 27/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 250 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [04:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10.5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [04:00:00 27/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 52.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml
id: Levophed-k t0: [03:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [04:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Riker-SAS Scale t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Alarms t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Temp. Site t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 35.0556 n1: 35.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 95.1 n1: 95.1 u1: Deg. F st: NotStopd
id: Urine Out Foley t0: [04:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: BUN t0: [03:26:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 18 n1: 18 rs: Final st: NotStopd id: Chloride t0: [03:26:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [03:26:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Magnesium t0: [03:26:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Phosphorous t0: [03:26:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:26:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Sodium t0: [03:26:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 135 n1: 135 rs: Final st: NotStopd id: BUN (6-20) t0: [03:26:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 18 n1: 18 rs: Final st: NotStopd id: Carbon Dioxide t0: [03:26:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 17 n1: 17 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:26:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:26:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:26:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:26:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:26:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:26:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 135 n1: 135 rs: Final st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [05:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 52.5 vu: ml id: Packed RBC's t0: [04:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 375 vu: ml uu: Units id: Packed RBC's t0: [05:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vu: ml uu: Units nb: 1 id: D5W t0: [05:00:00 27/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 250 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [05:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10.5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [05:00:00 27/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 39.375 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml
id: INV Line#1 Type/Site t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bleeding st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Right Femoral st: NotStopd id: INV Line#4InsertDate t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#4SiteAppear t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bleeding st: NotStopd id: INV Line#5 Type/Site t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#5InsertDate t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#5SiteAppear t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bleeding st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Dampened st: NotStopd id: INV#5 WaveformAppear t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd
id: D-Dimer t0: [03:26:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 3898 n1: 3898 rs: Final st: NotStopd id: IV #1 Insert Date t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: IV #1 Insert Date t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: IV #1 Site/Size t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: IV #2 Insert Date t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: IV #2 Site/Size t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: LL Post Forearm v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: LL Post Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: D-Dimer (0-500) t0: [03:26:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 3898 n1: 3898 rs: Final st: NotStopd
id: HOB t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Activity t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: KneeImmobilizer/Loc t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: Therapeutic Bed t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: WarmingDevice/Status t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bair Hugger v2: On st: NotStopd
id: Range of Motion t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Family Communication t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Position Change t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Behavior t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pt./Family Informed t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Braden Activity t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: Diet Type t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Low Intermittent v2: Brown st: NotStopd id: Abdominal Assessment t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Firm Distended st: NotStopd id: LLE Temp/Color t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LUE Temp/Color t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: Level of Conscious t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Angio Appearance #1 t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Appearance #2 t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Hematoma st: NotStopd id: Motor Response t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RLE Temp/Color t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: Respiratory Pattern t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Color/Appear t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Absent st: NotStopd
id: Insulin io: .9% Normal Saline 100.0ml + 100Uhr Insulin el: 100 cg: RN cu: CCU am: 100 du: Uhr rt: IV Drip
io: .9% Normal Saline 100.0ml + 100Uhr Insulin el: 1 cg: RN cu: CCU ra: 2 ru: ml/hr
id: Service Type t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: IABP setting t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 27/12/2018] 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 27/12/2018] 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 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg st: NotStopd id: Respiratory Rate t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: BAEDP t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: SpO2 t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: % st: NotStopd id: Arterial BP #2 t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: calprevflg t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [05:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [05:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [05:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [05:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 20 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Insulin t0: [05:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: KCL io: .9% Normal Saline 500.0ml el: 100 cg: RN cu: CCU am: 40 du: mEq rt: Intravenous Push
io: .9% Normal Saline 500.0ml el: 1 cg: RN cu: CCU ra: 125 ru: ml/hr
id: Temp. Site t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 396 n1: 396 rs: Manual st: NotStopd
id: Service Type t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: IABP setting t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 27/12/2018] 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 27/12/2018] 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 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Respiratory Rate t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: BAEDP t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: SpO2 t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: % st: NotStopd id: Arterial BP #2 t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: calprevflg t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [06:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [06:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [06:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [06:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [06:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: D5W 100.0ml t0: [05:00:00 27/12/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [06:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 52.5 vu: ml id: D5W t0: [06:00:00 27/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 27/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 2 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [06:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10.5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [06:00:00 27/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 26.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Packed RBC's t0: [06:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 375 vu: ml uu: Units id: Urine Out Foley t0: [05:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: .9% Normal Saline 500.0ml t0: [05:00:00 27/12/2018] el: 1 ai: 121 cg: RN cu: CCU vu: ml nb: 1 id: .9% Normal Saline 500.0ml t0: [06:00:00 27/12/2018] el: 1 ai: 121 cg: RN cu: CCU vo: 125 vu: ml id: Urine Out Foley t0: [06:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 240 vu: ml
id: Art.pH t0: [06:24:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [06:24:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:24:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:24:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 36 n1: 36 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:24:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 148 n1: 148 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:24:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: SaO2 t0: [06:24:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Blood Products Total t0: [23:00:00 27/12/2018] el: 2 cg: 1663 cu: CCU cv: 750 ac: 24 ap: none re: 0
id: SpO2 t0: [06:24:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Mixed Venous O2% Sat t0: [06:24:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 59 n1: 59 rs: Manual st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [07:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 39.375 vu: ml id: D5W t0: [07:00:00 27/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 125 vu: ml id: .9% Normal Saline 500.0ml t0: [07:00:00 27/12/2018] el: 1 ai: 121 cg: RN cu: CCU vo: 125 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 27/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 5 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [07:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10.5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [07:00:00 27/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 26.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Dorsal PedPulse R/L t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: LLE Temp/Color t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUE Temp/Color t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Angio Appearance #1 t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Appearance #2 t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Hematoma st: NotStopd id: Angio Dressing #1 t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Site #1 t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RLE Temp/Color t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd
id: Range of Motion t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Position Change t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd
id: IV #3 Insert Date t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: LL Post Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #3 t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd
id: Service Type t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: IABP setting t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 27/12/2018] 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 27/12/2018] 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 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Respiratory Rate t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: BAEDP t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: SpO2 t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: % st: NotStopd id: Arterial BP #2 t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: calprevflg t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [07:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [07:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [07:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [07:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [07:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Urine Out Foley t0: [07:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 85 vu: ml
id: Fingerstick Glucose t0: [07:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 235 n1: 235 rs: Manual st: NotStopd
id: WBC (4-11,000) t0: [06:15:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 18.7 n1: 18.7 rs: Final st: NotStopd id: CaO2 t0: [06:24:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 14.1161 n1: 14.1161 u1: ml/dl st: NotStopd id: Cardiac Index t0: [06:24:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.28261 n1: 2.28261 u1: ... st: NotStopd id: DO2I t0: [06:24:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 319.2 n1: 319.2 u1: ml/m/m st: NotStopd id: WBC t0: [06:15:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 18.7 n1: 18.7 rs: Final st: NotStopd id: Hematocrit t0: [06:15:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 30.5 n1: 30.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [06:15:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 10.4 n1: 10.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [06:15:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 172 n1: 172 rs: Final st: NotStopd id: RBC t0: [06:15:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.46 n1: 3.46 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [06:15:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 18.7 n1: 18.7 rs: Final st: NotStopd id: C.O. (fick) t0: [06:24:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 4.2318 n1: 4.2318 u1: L/min st: NotStopd
id: PT t0: [06:15:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 14.9 n1: 14.9 rs: Final st: NotStopd id: Fibrinogen t0: [06:15:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 165 n1: 165 rs: Final st: NotStopd id: INR t0: [06:15:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Fibrinogen (150-400) t0: [06:15:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 165 n1: 165 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [06:15:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [06:15:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 14.9 n1: 14.9 rs: Final st: NotStopd
id: PTT t0: [06:15:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 35.6 n1: 35.6 rs: Final st: NotStopd id: PTT(22-35) t0: [06:15:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 35.6 n1: 35.6 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 20.8333 n1: 20.8333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 1:1.9 st: NotStopd id: Airway Size t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 14.2 n1: 14.2 u1: L/min st: NotStopd id: PEEP Set t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Pressure Support t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Auto-PEEP Level t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Tank A psi. t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 2600 n1: 2600 st: NotStopd id: Ve High t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 490 n1: 490 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Total PEEP Level t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [07:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: RAMP st: NotStopd
id: Heparin io: D5W 250.0ml + 25000Uhr Heparin el: 100 cg: RN cu: CCU am: 25000 du: Uhr rt: IV Drip
io: D5W 250.0ml + 25000Uhr Heparin el: 1 cg: RN cu: CCU ra: 10 ru: ml/hr
id: Pain Present t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Service Type t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 27/12/2018] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: Risk for Falls t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: Heart Rate t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: IABP setting t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: LLE Temp/Color t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUE Temp/Color t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Angio Appearance #1 t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Appearance #2 t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Angio Dressing #1 t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Orientation t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Augmented Diastole t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Respiratory Pattern t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: BAEDP t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: SpO2 t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Arterial BP #2 t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Verbal Response t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [08:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 39.375 vu: ml id: .9% Normal Saline 500.0ml t0: [08:00:00 27/12/2018] el: 1 ai: 121 cg: RN cu: CCU vo: 125 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 27/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 5 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [08:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10.5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [08:00:00 27/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 26.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [08:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [08:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [08:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [08:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [08:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [08:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Cath Lab Intake t0: [01:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 6370 vu: ml nb: 1 id: Gastric Oral Gastric t0: [07:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 350 vu: ml
id: CVP t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: GI#1 Intub Site t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Low Intermittent v2: Bilious st: NotStopd id: Abdominal Assessment t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Firm Distended st: NotStopd id: LLL Lung Sounds t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Oral Cavity t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: RLL Lung Sounds t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Urine Color/Appear t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Bowel Sounds t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: Heparin t0: [08:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 224 n1: 224 rs: Manual st: NotStopd
pi: 4367447 hi: 19952 t0: [10:00:00 27/12/2018] tf: [09:00:00 28/12/2018] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Ectopy Frequency t0: [09:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [09:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Education Barrier t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Anxiety st: NotStopd id: Education Handout t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Family Communication t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: HOB t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [09:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [09:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: IABP setting t0: [09:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bleeding st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Right Femoral st: NotStopd id: INV Line#4InsertDate t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#5 Type/Site t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#5 Zero/Cal t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#5InsertDate t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#5SiteAppear t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bleeding st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#5 WaveformAppear t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Dampened st: NotStopd id: IV #1 Insert Date t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: LL Post Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: LL Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: KneeImmobilizer/Loc t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: Oral Care t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Arterial BP t0: [09:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Position t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assisted Systole t0: [09:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#5 Dsg Change t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: Procedures t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Cardiac Echo st: NotStopd id: Augmented Diastole t0: [09:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Reason For Restraint t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [09:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [09:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Side Rails t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [09:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Arterial BP #2 t0: [09:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [09:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#5 Tubing Change t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: WarmingDevice/Status t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v2: Off st: NotStopd id: calprevflg t0: [09:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [09:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 39.375 vu: ml nb: 1 id: .9% Normal Saline 500.0ml t0: [09:00:00 27/12/2018] el: 1 ai: 121 cg: RN cu: CCU vo: 125 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 27/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 5 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [09:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10.5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [09:00:00 27/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 26.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [09:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml nb: 1
id: Fentanyl t0: [09:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [09:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [09:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [09:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [09:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [09:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [09:43:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: CaO2 t0: [09:43:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 13.6886 n1: 13.6886 u1: ml/dl st: NotStopd id: Glucose t0: [09:43:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd id: Lactic Acid t0: [09:43:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial Base Excess t0: [09:43:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [09:43:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [09:43:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [09:43:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [09:43:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Glucose (70-105) t0: [09:43:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd id: Hematocrit t0: [09:43:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 u1: % rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [09:43:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: SaO2 t0: [09:43:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: Minute Volume(Obser) t0: [09:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 12.2 n1: 12.2 u1: L/min st: NotStopd id: PEEP Set t0: [09:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [09:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Respiratory Rate Set t0: [09:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Total PEEP Level t0: [09:50:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd
id: Hematocrit t0: [09:41:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 31.5 n1: 31.5 u1: % rs: Final st: NotStopd
id: CVP t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Cardiac Index t0: [09:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2.82609 n1: 2.82609 u1: ... st: NotStopd id: Code Status t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: DO2I t0: [09:43:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 396.2 n1: 396.2 u1: ml/m/m st: NotStopd id: Risk for Falls t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: IABP setting t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: LLE Temp/Color t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LUE Temp/Color t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: Angio Appearance #1 t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Appearance #2 t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Dressing #1 t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Site #1 t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: EKG st: NotStopd id: RLE Temp/Color t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: Augmented Diastole t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: BAEDP t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: SpO2 t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Arterial BP #2 t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Urine Color/Appear t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Mixed Venous O2% Sat t0: [09:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 rs: Manual st: NotStopd id: C.O. (fick) t0: [09:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 5.15751 n1: 5.15751 u1: L/min st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 125 vu: ml nb: 1 id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [10:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 39.375 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 27/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 5 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [10:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10.5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [10:00:00 27/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 26.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [10:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [10:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [10:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [10:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [10:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [10:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [10:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: BUN t0: [09:41:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Calcium t0: [09:41:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [09:41:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [09:41:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [09:41:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd id: Magnesium t0: [09:41:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Potassium t0: [09:41:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Sodium t0: [09:41:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [09:41:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [09:41:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [09:41:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [09:41:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [09:41:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [09:41:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [09:41:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [09:41:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Sodium (135-148) t0: [09:41:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd
id: Ectopy Frequency t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: calprevflg t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 125 vu: ml id: .9% Normal Saline 500.0ml t0: [10:00:00 27/12/2018] el: 1 ai: 121 cg: RN cu: CCU vu: ml st: Stopped id: Urine Out Foley t0: [11:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Less Restrict Meas. t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Dorsal PedPulse R/L t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: IABP Mean t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: IABP setting t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Angio Appearance #2 t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v2: Clean and Dry st: NotStopd id: Angio Dressing #1 t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Site #1 t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assisted Systole t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Augmented Diastole t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Reason For Restraint t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: Side Rails t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Arterial BP #2 t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Pt./Family Informed t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [11:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 39.375 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 27/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [11:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10.5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [11:00:00 27/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 26.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [11:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [11:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [11:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [11:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [11:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [11:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [11:36:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Glucose t0: [11:36:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 91 n1: 91 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:36:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:36:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:36:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:36:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 95 n1: 95 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:36:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Glucose (70-105) t0: [11:36:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 91 n1: 91 rs: Final st: NotStopd
id: Service Type t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Precautions t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Temp. Site t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Fentanyl t0: [12:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [12:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [12:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Dobutamine t0: [12:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [12:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [12:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Phosphorous t0: [09:41:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 u1: mEq/L rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [09:41:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 u1: mEq/L rs: Final st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: CVP t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Daily Wake Up t0: [12:00:00 27/12/2018] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Low Intermittent v2: Bilious st: NotStopd id: IABP Mean t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: IABP setting t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Abdominal Assessment t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Firm Distended st: NotStopd id: LLE Temp/Color t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LLL Lung Sounds t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LUL Lung Sounds t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Angio Dressing #1 t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assisted Systole t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: RLE Temp/Color t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: RLL Lung Sounds t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Augmented Diastole t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Reason For Restraint t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg st: NotStopd id: Side Rails t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Arterial BP #2 t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Urine Color/Appear t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: Compliance (40-60ml) t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 27.7778 n1: 27.7778 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 1:2.4 st: NotStopd id: Airway Size t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 10.9 n1: 10.9 u1: L/min st: NotStopd id: PEEP Set t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 1.4 n1: 1.4 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 510 n1: 510 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Total PEEP Level t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 6.4 n1: 6.4 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:25:00 27/12/2018] el: 0 cg: RT cu: CCU v1: RAMP st: NotStopd
id: Cuff Pressure-Airway t0: [12:30:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd
id: Diastolic Unloading t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Ectopy Frequency t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: IABP setting t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Assisted Systole t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Augmented Diastole t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Respiratory Rate t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: BAEDP t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: SpO2 t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Arterial BP #2 t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: calprevflg t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vu: ml nb: 1 id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [12:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 39.375 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [13:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 39.375 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 27/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 27/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 3 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [12:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10.5 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [13:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [12:00:00 27/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 26.25 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [13:00:00 27/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 26.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [12:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [13:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 28 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [13:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [13:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [13:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 7.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [13:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [13:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PT t0: [12:13:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 13.8 n1: 13.8 rs: Final st: NotStopd id: INR t0: [12:13:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [12:13:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 57.4 n1: 57.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [12:13:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [12:13:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 13.8 n1: 13.8 rs: Final st: NotStopd id: PTT(22-35) t0: [12:13:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 57.4 n1: 57.4 rs: Final st: NotStopd
pi: 4368117 hi: 19952 t0: [14:00:00 27/12/2018] tf: [13:00:00 28/12/2018] mn: Magnesium Sulfate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4368118 hi: 19952 t0: [14:00:00 27/12/2018] tf: [00:00:00 28/12/2018] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ASDIR dt: 3 di: Doses xv: 36 xu: Hours
id: HOB t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Activity t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: KneeImmobilizer/Loc t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: Oral Care t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Fingerstick Glucose t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 rs: Manual st: NotStopd
id: Riker-SAS Scale t0: [13:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [13:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [13:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [13:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [13:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: IABP setting t0: [13:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [13:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: Assisted Systole t0: [13:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Augmented Diastole t0: [13:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Respiratory Rate t0: [13:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: BAEDP t0: [13:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg st: NotStopd id: Significant Events t0: [13:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [13:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [13:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: Arterial BP #2 t0: [13:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [13:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: calprevflg t0: [13:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [13:30:00 27/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Fentanyl t0: [13:30:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [13:30:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:30:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [13:30:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [13:30:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [13:30:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Ectopy Frequency t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: IABP setting t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Assisted Systole t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Respiratory Rate t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: BAEDP t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: SpO2 t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Arterial BP #2 t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: calprevflg t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [14:00:00 27/12/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [14:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 39.375 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 27/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 3 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [14:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 26.25 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [14:00:00 27/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 26.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Art.pH t0: [14:39:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: CaO2 t0: [14:39:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 13.6483 n1: 13.6483 u1: ml/dl st: NotStopd id: Glucose t0: [14:39:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 78 n1: 78 rs: Final st: NotStopd id: Lactic Acid t0: [14:39:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:39:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:39:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:39:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 36 n1: 36 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:39:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 87 n1: 87 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:39:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Glucose (70-105) t0: [14:39:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 78 n1: 78 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [14:39:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: SaO2 t0: [14:39:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
pi: 4368533 hi: 19952 t0: [16:00:00 27/12/2018] tf: [00:00:00 29/12/2018] mn: Heparin Flush CVL (100 units/ml) pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: CVP t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Eye Opening t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: Heart Rate t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: IABP setting t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Level of Conscious t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Angio Dressing #1 t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Orientation t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg st: NotStopd id: PAP S/D t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Augmented Diastole t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Radiologic Study t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Chest Xray st: NotStopd id: Reason For Restraint t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Side Rails t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Significant Events t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Arterial BP #2 t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Verbal Response t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [15:00:00 27/12/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [15:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 39.375 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 27/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 3 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [15:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [15:00:00 27/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 26.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [14:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [15:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [14:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [15:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [14:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [15:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [14:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [15:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [14:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [15:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [14:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [15:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Cardiac Index t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2.5 n1: 2.5 u1: ... st: NotStopd id: DO2I t0: [14:39:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 350 n1: 350 u1: ml/m/m st: NotStopd id: SVR t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 695.652 n1: 695.652 u1: ... st: NotStopd id: SVRI t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1280 n1: 1280 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 rs: Manual st: NotStopd id: C.O. (fick) t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 4.58935 n1: 4.58935 u1: L/min st: NotStopd
id: Compliance (40-60ml) t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 21.7391 n1: 21.7391 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 1:2.4 st: NotStopd id: Airway Size t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 10.7 n1: 10.7 u1: L/min st: NotStopd id: PEEP Set t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 4 n1: 4 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 511 n1: 511 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Total PEEP Level t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [15:35:00 27/12/2018] el: 0 cg: RT cu: CCU v1: RAMP st: NotStopd
id: Glucose t0: [16:00:00 27/12/2018] el: 0 cg: CoWker cu: CCU v1: 97 n1: 97 rs: Manual st: NotStopd id: Glucose (70-105) t0: [16:00:00 27/12/2018] el: 0 cg: CoWker cu: CCU v1: 97 n1: 97 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 27/12/2018] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diastolic Unloading t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Diet Type t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Anxiety st: NotStopd id: Education Handout t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Family Communication t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: GI Intub #1/Site t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Low Intermittent v2: Bilious st: NotStopd id: HOB t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: IABP setting t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Abdominal Assessment t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Firm Distended st: NotStopd id: Activity t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: KneeImmobilizer/Loc t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: LLE Temp/Color t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LLL Lung Sounds t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LUL Lung Sounds t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Angio Appearance #1 t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Dressing #2 t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Angio Site #1 t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: PAP S/D t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Position t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assisted Systole t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: RLL Lung Sounds t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Augmented Diastole t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Reason For Restraint t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: Side Rails t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Integrity t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Systolic Unloading t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Arterial BP #2 t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Temp. Site t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Walks Occasional st: NotStopd id: Braden Activity t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Frict/Shear t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Mobility t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Moisture t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Nutrition t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden Score t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden SensoryPercep t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [16:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 39.375 vu: ml nb: 1 id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 27/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 1 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [16:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [16:00:00 27/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 26.25 vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [16:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 32 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [16:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [16:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [16:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [16:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [16:00:00 27/12/2018] 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: [17:00:00 27/12/2018] el: 0 cg: CoWker cu: CCU v1: 113 n1: 113 rs: Manual st: NotStopd
id: WBC (4-11,000) t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 16.8 n1: 16.8 rs: Final st: NotStopd id: WBC t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 16.8 n1: 16.8 rs: Final st: NotStopd id: Hematocrit t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 29.5 n1: 29.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 10.6 n1: 10.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 150 n1: 150 rs: Final st: NotStopd id: RBC t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.42 n1: 3.42 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 16.8 n1: 16.8 rs: Final st: NotStopd
id: CVP t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: IABP setting t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Dampened st: NotStopd id: IV #1 Insert Date t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: LL Post Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: LL Post Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: PAP Mean t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg st: NotStopd id: PAP S/D t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: Augmented Diastole t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Respiratory Rate t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: BAEDP t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: SpO2 t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Systolic Unloading t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Arterial BP #2 t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: calprevflg t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [17:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 39.375 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 27/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 1 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [17:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [17:00:00 27/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 26.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [17:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 34 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [17:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [17:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [17:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [17:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [17:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: BUN t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Calcium t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Magnesium t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd id: ALT t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 124 n1: 124 rs: Final st: NotStopd id: BUN (6-20) t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [16:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [18:00:00 27/12/2018] el: 0 cg: CoWker cu: CCU v1: 129 n1: 129 rs: Manual st: NotStopd
id: INV Line#5 Type/Site t0: [18:00:00 27/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#5 Zero/Cal t0: [18:00:00 27/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#5InsertDate t0: [18:00:00 27/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#5SiteAppear t0: [18:00:00 27/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#5 WaveformAppear t0: [18:00:00 27/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#5 Dsg Change t0: [18:00:00 27/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#5 Tubing Change t0: [18:00:00 27/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd
id: Less Restrict Meas. t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Diet Type t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: Heart Rate t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: IABP setting t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#2 D/C Date t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2 Type/Site t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2 Type/Site t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#2InsertDate t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#5 Type/Site t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#5InsertDate t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#2 WaveformAppear t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Level of Conscious t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg st: NotStopd id: PAP S/D t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Precautions t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: INV#2 Dsg Change t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#2 Dsg Change t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#4 Dsg Change t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#5 Dsg Change t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Reason For Restraint t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: Side Rails t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Arterial BP #2 t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: INV#2 Cap Change t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#2 Tubing Change t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#4 Tubing Change t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#5 Tubing Change t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: Verbal Response t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [16:00:00 27/12/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [18:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 39.375 vu: ml id: Gastric Meds t0: [17:00:00 27/12/2018] el: 1 ai: 111 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 27/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 1 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [18:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml nb: 1 id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [18:00:00 27/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 26.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [18:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Gastric Oral Gastric t0: [13:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml nb: 1
id: Fentanyl t0: [18:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [18:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [18:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [18:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [18:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Gastric Out Total t0: [23:00:00 27/12/2018] el: 2 cg: RN cu: CCU cv: 500 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 27/12/2018] el: 2 cg: RN cu: CCU cv: 30 ac: 24 ap: none re: 0
id: Plateau-Off t0: [19:00:00 27/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Fingerstick Glucose t0: [19:00:00 27/12/2018] el: 0 cg: CoWker cu: CCU v1: 136 n1: 136 rs: Manual st: NotStopd
pi: 4369382 hi: 19952 t0: [20:00:00 27/12/2018] tf: [19:00:00 28/12/2018] mn: Calcium Gluconate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 1:1.7 st: NotStopd id: Airway Size t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 10.9 n1: 10.9 u1: L/min st: NotStopd id: PEEP Set t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Tank A psi. t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 2800 n1: 2800 st: NotStopd id: Tank B psi. t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Ve High t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 510 n1: 510 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Total PEEP Level t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:10:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [20:00:00 27/12/2018] el: 0 cg: CoWker cu: CCU v1: 130 n1: 130 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 27/12/2018] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Diet Type t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Low Intermittent v2: Bilious st: NotStopd id: Heart Rate t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: IABP setting t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#4 Type/Site t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: Abdominal Assessment t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Firm Distended st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: LL Post Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: LL Post Forearm v2: 20 gauge st: NotStopd id: LLL Lung Sounds t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: PAP S/D t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Precautions t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#4 Dsg Change t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 27/12/2018] 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 27/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Augmented Diastole t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Reason For Restraint t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: Side Rails t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Systolic Unloading t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: % st: NotStopd id: Arterial BP #2 t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#4 Tubing Change t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: Temp. Site t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [20:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 78.75 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 27/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 2 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [20:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 42 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [20:00:00 27/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 26.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 16 vu: ml
id: Fentanyl t0: [20:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [20:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [20:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [20:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [20:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [20:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Arterial Base Excess t0: [20:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: -3 n1: -3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [20:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 19 n1: 19 rs: Final st: NotStopd id: Arterial PaCO2 t0: [20:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [20:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 130 n1: 130 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [20:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd
id: Hematocrit t0: [20:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 25 n1: 25 u1: % rs: Final st: NotStopd id: SaO2 t0: [20:37:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: CaO2 t0: [20:37:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11.1913 n1: 11.1913 u1: ml/dl st: NotStopd id: Cardiac Index t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 3.75 n1: 3.75 u1: ... st: NotStopd id: DO2I t0: [20:37:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 412.5 n1: 412.5 u1: ml/m/m st: NotStopd id: SVR t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 579.71 n1: 579.71 u1: ... st: NotStopd id: SVRI t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1066.67 n1: 1066.67 u1: ... st: NotStopd id: Hemoglobin t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8.3 n1: 8.3 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 rs: Manual st: NotStopd id: C.O. (fick) t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 6.89324 n1: 6.89324 u1: L/min st: NotStopd
id: .9% Normal Saline 500.0ml t0: [21:00:00 27/12/2018] el: 1 ai: 121 cg: -1 cu: CCU vo: 0 st: D/C'd id: Cath Lab Intake t0: [21:00:00 27/12/2018] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Fingerstick Glucose t0: [21:00:00 27/12/2018] el: 0 cg: CoWker cu: CCU v1: 114 n1: 114 rs: Manual st: NotStopd
id: Service Type t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP setting t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP S/D t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Precautions t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Arterial BP #2 t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: calprevflg t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [21:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [21:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [21:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [21:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [21:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IABP Mean t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Assisted Systole t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Augmented Diastole t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: BAEDP t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Systolic Unloading t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: % st: NotStopd id: Insulin Guideline t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Urine Out Foley t0: [21:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 160 vu: ml
id: Compliance (40-60ml) t0: [21:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 27.7778 n1: 27.7778 u1: ml/cmH st: NotStopd id: I:E Ratio t0: [21:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 1:2.1 st: NotStopd id: Mean Airway Pressure t0: [21:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [21:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 8 n1: 8 u1: L/min st: NotStopd id: PEEP Set t0: [21:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [21:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [21:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [21:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 3.5 n1: 3.5 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [21:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [21:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [21:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tidal Volume (Obser) t0: [21:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 510 n1: 510 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [21:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Total PEEP Level t0: [21:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 7.5 n1: 7.5 u1: cmH2O st: NotStopd
id: Service Type t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP setting t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP S/D t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: Precautions t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Arterial BP #2 t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: calprevflg t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [21:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 39.375 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [22:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 39.375 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 27/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 1 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 27/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 1 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [21:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [22:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [21:00:00 27/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 13.125 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [22:00:00 27/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 13.125 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 6 vu: ml
id: Fentanyl t0: [22:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [22:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [22:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [22:00:00 27/12/2018] 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: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 146 n1: 146 rs: Manual st: NotStopd
pi: 4369927 hi: 19952 t0: [23:00:00 27/12/2018] tf: [22:00:00 28/12/2018] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Diet Type t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: IABP Mean t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Activity t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: LLE Temp/Color t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LUE Temp/Color t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: Level of Conscious t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assisted Systole t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: RLE Temp/Color t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: Augmented Diastole t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Reason For Restraint t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: Side Rails t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Systolic Unloading t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Source t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Insulin Guideline t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [23:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 39.375 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 27/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 1 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [23:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [23:00:00 27/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 27/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [22:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Levophed-k t0: [22:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.0914286 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Art.pH t0: [23:06:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: CVP t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: IABP setting t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP S/D t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Respiratory Rate t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: SpO2 t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Arterial BP #2 t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: calprevflg t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Arterial Base Excess t0: [23:06:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: -3 n1: -3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:06:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:06:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 36 n1: 36 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:06:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 120 n1: 120 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:06:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Fingerstick Glucose t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 rs: Manual st: NotStopd
id: Urine Out Foley t0: [23:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Fentanyl t0: [23:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [23:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.0914286 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [23:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [23:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 27/12/2018] el: 2 cg: RN cu: CCU pv: 120 cv: 120 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 27/12/2018] el: 2 cg: RN cu: CCU pv: 120 cv: 2534 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 27/12/2018] el: 2 cg: RN cu: CCU pv: 120 cv: 3034 ac: 24 ap: none re: 0
id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 27/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 10 vu: ml nb: 1
id: Compliance (40-60ml) t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 31.25 n1: 31.25 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 1:2.8 st: NotStopd id: Airway Size t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 8.7 n1: 8.7 u1: L/min st: NotStopd id: PEEP Set t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 st: NotStopd id: SpO2 t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 530 n1: 530 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
io: D5W el: 2 cg: RN cu: CCU ra: 10 ru: ml/hr
id: Fingerstick Glucose t0: [00:00:00 28/12/2018] el: 0 cg: CoWker cu: CCU v1: 131 n1: 131 rs: Manual st: NotStopd
id: Service Type t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP setting t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: PAP S/D t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Precautions t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Arterial BP #2 t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Temp. Site t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [00:00:00 28/12/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml t0: [22:00:00 27/12/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml t0: [23:00:00 27/12/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [00:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 39.375 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 1 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [00:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [00:00:00 28/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [00:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Fentanyl t0: [00:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [00:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [00:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Riker-SAS Scale t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#4 Type/Site t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4SiteAppear t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Firm Distended st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: LL Post Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: LL Post Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Level of Conscious t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #2 t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#4 Dsg Change t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: Respiratory Pattern t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#4 Tubing Change t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: Urine Color/Appear t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: Diastolic Unloading t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: IABP Mean t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Assisted Systole t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Augmented Diastole t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: BAEDP t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg st: NotStopd id: Systolic Unloading t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd
id: Levophed-k t0: [00:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.0838095 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [00:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [23:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP setting t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: PAP S/D t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Precautions t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 28/12/2018] 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 28/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Arterial BP #2 t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: calprevflg t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [01:00:00 28/12/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [01:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 39.375 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 0.5 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [01:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [01:00:00 28/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 11 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 27/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [01:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [01:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [01:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [01:00:00 28/12/2018] el: 0 cg: CoWker cu: CCU v1: 136 n1: 136 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Position Change t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Pt./Family Informed t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Diastolic Unloading t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: IABP Mean t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Assisted Systole t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Augmented Diastole t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: BAEDP t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: Systolic Unloading t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd
id: Levophed-k t0: [01:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.0761905 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [00:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [01:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Cardiac Index t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 4.67391 n1: 4.67391 u1: ... st: NotStopd id: Code Status t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: BPM st: NotStopd id: IABP setting t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: PAP S/D t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Precautions t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SVR t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 483.721 n1: 483.721 u1: ... st: NotStopd id: SVRI t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 890.792 n1: 890.792 u1: ... st: NotStopd id: SpO2 t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Arterial BP #2 t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: calprevflg t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Hemoglobin t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 8.3 n1: 8.3 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 rs: Manual st: NotStopd id: SaO2 t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 8.61656 n1: 8.61656 u1: L/min st: NotStopd
id: Fentanyl t0: [02:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [02:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.0761905 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [02:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [02:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [02:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [02:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [02:00:00 28/12/2018] el: 0 cg: CoWker cu: CCU v1: 139 n1: 139 rs: Manual st: NotStopd
id: Ectopy Frequency t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rhythm t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd
id: Diastolic Unloading t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: IABP Mean t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Assisted Systole t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Augmented Diastole t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: BAEDP t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: Systolic Unloading t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd
id: D5W 100.0ml t0: [02:00:00 28/12/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [02:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 36.75 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 0.5 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [02:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [02:00:00 28/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [01:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [02:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Less Restrict Meas. t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: HOB t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Activity t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: KneeImmobilizer/Loc t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: KneeImmobilizer/Loc t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: Position Change t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Therapeutic Bed t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Pt./Family Informed t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Fingerstick Glucose t0: [03:00:00 28/12/2018] el: 0 cg: CoWker cu: CCU v1: 160 n1: 160 rs: Manual st: NotStopd
id: Service Type t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP setting t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP S/D t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Arterial BP #2 t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: calprevflg t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [03:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [03:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.0761905 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [03:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [03:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [03:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: Hemodyn Instabil st: NotStopd id: ETT Mark/Location t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 9 n1: 9 u1: L/min st: NotStopd id: PEEP Set t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sensitivity-Vent t0: [23:25:00 27/12/2018] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:32:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [04:00:00 28/12/2018] el: 0 cg: CoWker cu: CCU v1: 156 n1: 156 rs: Manual st: NotStopd
pi: 4370487 hi: 19952 t0: [05:00:00 28/12/2018] tf: [07:00:00 11/01/2019] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 4370488 hi: 19952 t0: [05:00:00 28/12/2018] tf: [04:00:00 29/12/2018] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 5 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Art.pH t0: [04:17:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Lactic Acid t0: [04:17:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:17:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:17:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:17:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:17:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:17:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Ionized Calcium t0: [04:17:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.15 n1: 1.15 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [04:17:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: SaO2 t0: [04:17:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: IV Infusion In Total t0: [23:00:00 27/12/2018] el: 2 cg: 1663 cu: CCU pv: 106.375 cv: 5385.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 27/12/2018] el: 2 cg: 1663 cu: CCU pv: 106.375 cv: 12535.5 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 27/12/2018] el: 2 cg: 1663 cu: CCU pv: -13.625 cv: 9501.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 27/12/2018] el: 2 cg: 1663 cu: CCU pv: -13.625 cv: 9501.5 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 27/12/2018] el: 2 cg: 1663 cu: CCU pv: -13.625 cv: -13.625 ac: 1 ap: none re: 0
id: Hematocrit t0: [04:19:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 u1: % rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Very Agitated st: NotStopd id: Riker-SAS Scale t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Runs Vtach st: NotStopd id: Ectopy Type t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: IABP setting t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: LL Post Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: LL Post Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: PAP Mean t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP S/D t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#4 Dsg Change t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Reason For Restraint t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: Side Rails t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Systolic Unloading t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Arterial BP #2 t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#4 Tubing Change t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: calprevflg t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [03:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 36.75 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 0.5 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [03:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [03:00:00 28/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [04:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [04:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.0761905 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [04:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [04:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [04:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [03:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [04:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Cardiac Index t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2.98913 n1: 2.98913 u1: ... st: NotStopd id: PCWP t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: PVRI t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 240.803 n1: 240.803 u1: ... st: NotStopd id: SVR t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 669.091 n1: 669.091 u1: ... st: NotStopd id: SVRI t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1230.77 n1: 1230.77 u1: ... st: NotStopd id: Hemoglobin t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 9.1 n1: 9.1 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 rs: Manual st: NotStopd id: C.O. (fick) t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5.54757 n1: 5.54757 u1: L/min st: NotStopd
id: WBC (4-11,000) t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: CaO2 t0: [04:17:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 12.7881 n1: 12.7881 u1: ml/dl st: NotStopd id: DO2I t0: [04:17:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 388.7 n1: 388.7 u1: ml/m/m st: NotStopd id: WBC t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: Hematocrit t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 9.6 n1: 9.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 118 n1: 118 rs: Final st: NotStopd id: RBC t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.21 n1: 3.21 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: % st: NotStopd id: Ectopy Frequency t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: IABP setting t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: PAP S/D t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Blood Cultured st: NotStopd id: Augmented Diastole t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Respiratory Rate t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: SpO2 t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Systolic Unloading t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Arterial BP #2 t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: calprevflg t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [04:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 36.75 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [05:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 36.75 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 1 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 1 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [04:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [05:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [04:00:00 28/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [05:00:00 28/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [05:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [05:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.0761905 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [05:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [05:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [05:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Daily Wake Up t0: [04:00:00 28/12/2018] el: 1 cg: RN cu: CCU v1: Agitated st: NotStopd id: GI Prophylaxis t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Clamped v2: Brown st: NotStopd id: Abdominal Assessment t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Firm Distended st: NotStopd id: LLE Temp/Color t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LUL Lung Sounds t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: RLE Temp/Color t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Color/Appear t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: Urine Out Foley t0: [04:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: PT t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 13.5 n1: 13.5 rs: Final st: NotStopd id: INR t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 13.5 n1: 13.5 rs: Final st: NotStopd
pi: 4370583 hi: 19952 t0: [06:00:00 28/12/2018] tf: [05:00:00 29/12/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: BUN t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Calcium t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 131 n1: 131 rs: Final st: NotStopd id: Magnesium t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 134 n1: 134 rs: Final st: NotStopd id: ALT t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 121 n1: 121 rs: Final st: NotStopd id: BUN (6-20) t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Fingerstick Glucose t0: [05:00:00 28/12/2018] el: 0 cg: CoWker cu: CCU v1: 144 n1: 144 rs: Manual st: NotStopd id: Glucose (70-105) t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 131 n1: 131 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 134 n1: 134 rs: Final st: NotStopd
id: CPK/MB t0: [04:06:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 249 n1: 249 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 28/12/2018] el: 0 cg: CoWker cu: CCU v1: 164 n1: 164 rs: Manual st: NotStopd
id: Service Type t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Intub Site t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: HOB t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: IABP setting t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Activity t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: KneeImmobilizer/Loc t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: Angio Appearance #1 t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #1 t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Dressing #1 t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Angio Site #1 t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Angio Site #2 t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: PAP S/D t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: PostTib. Pulses R/L t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Respiratory Pattern t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: SpO2 t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Systolic Unloading t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Arterial BP #2 t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Therapeutic Bed t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Source t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [06:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 36.75 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 1 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [06:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [06:00:00 28/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [06:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 220 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [06:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [06:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.0761905 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [05:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [06:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [06:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [06:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: Temp. Site t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temp. Site t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: Temperature F t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: Deg. F st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 6.5 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [07:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 36.75 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [07:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [07:00:00 28/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Compliance (40-60ml) t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 23.8095 n1: 23.8095 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 1:2.8 st: NotStopd id: Airway Size t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 5.5 n1: 5.5 st: NotStopd id: Mean Airway Pressure t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 8.3 n1: 8.3 u1: L/min st: NotStopd id: PEEP Set t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Pressure Support t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 2600 n1: 2600 st: NotStopd id: Ve High t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Source/Amt t0: [07:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 544 n1: 544 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [07:30:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Position Change t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [06:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: NBP Alarm (Lo/Hi) t0: [08:00:00 28/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4370762 hi: 19952 t0: [09:00:00 28/12/2018] tf: [08:00:00 29/12/2018] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4370764 hi: 19952 t0: [09:00:00 28/12/2018] tf: [19:00:00 08/01/2019] mn: Pantoprazole pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 9 dn: 1 di: Ongoing xu: Enter on Label pi: 4370787 hi: 19952 t0: [09:00:00 28/12/2018] tf: [10:00:00 07/01/2019] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 12H ds: 8, 20 dn: 2 dt: 72 di: Hours xv: 36 xu: Hours pi: 4370857 hi: 19952 t0: [10:00:00 28/12/2018] tf: [09:00:00 16/01/2019] mn: Aspirin pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4370858 hi: 19952 t0: [09:00:00 28/12/2018] tf: [19:00:00 08/01/2019] mn: Acetamin pt: Unit Dose st: Discontinued rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4370859 hi: 19952 t0: [09:00:00 28/12/2018] tf: [19:00:00 08/01/2019] mn: Acetamin pt: Unit Dose st: Discontinued rt: NG fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
id: CVP t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Ectopy Frequency t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: IABP setting t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP S/D t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PCWP t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Assisted Systole t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Respiratory Rate t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: BAEDP t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: SpO2 t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Swan SVO2 t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: % st: NotStopd id: Swan SVO2 t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: % st: NotStopd id: Swan SVO2 t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: % st: NotStopd id: Arterial BP #2 t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Temp. Site t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 102.2 n1: 102.2 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Readmit <48 hrs t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Alarms t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Precautions t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous Weight t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: Previous WeightF t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: Procedures t0: [07:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: EKG st: NotStopd id: Radiologic Study t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Chest Xray st: NotStopd id: BSA - English t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1.30522 n1: 1.30522 u1: m2 st: NotStopd id: BSA - Metric t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1.52251 n1: 1.52251 u1: m2 st: NotStopd id: Weight Change t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Daily Weight t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: Insulin Guideline t0: [07:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Off Guideline st: NotStopd id: Insulin Guideline t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Fentanyl t0: [08:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [08:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.0342857 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [08:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [08:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [08:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [08:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 6.5 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [08:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 36.75 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [08:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [08:00:00 28/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [08:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 240 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
pi: 4371040 hi: 19952 t0: [10:00:00 28/12/2018] tf: [01:00:00 30/12/2018] mn: Albuterol pt: Unit Dose st: Inactive (Due to a change order) rt: IH fr: Q4H ds: 10, 14, 18, 22, 2, 6 dn: 6 di: Ongoing xv: 36 xu: Hours pi: 4371041 hi: 19952 t0: [10:00:00 28/12/2018] tf: [15:00:00 09/01/2019] mn: Ipratropium Bromide MDI pt: Unit Dose st: Discontinued rt: IH fr: Q4H ds: 10, 14, 18, 22, 2, 6 dn: 6 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Ectopy Frequency t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: IABP setting t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP S/D t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: EEG st: NotStopd id: Augmented Diastole t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Respiratory Rate t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: BAEDP t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: SpO2 t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Systolic Unloading t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: Arterial BP #2 t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: calprevflg t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Fentanyl t0: [10:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [10:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [10:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [10:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [10:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W t0: [10:00:00 28/12/2018] el: 2 ai: 168 cg: -1 cu: CCU vo: 0 st: D/C'd
pi: 4371132 hi: 19952 t0: [11:00:00 28/12/2018] tf: [19:00:00 08/01/2019] mn: Fentanyl Citrate pt: Unit Dose st: Discontinued rt: IV fr: Q2H:PRN di: Ongoing xv: 36 xu: Hours pi: 4371133 hi: 19952 t0: [11:00:00 28/12/2018] tf: [19:00:00 08/01/2019] mn: Midazolam HCl pt: Unit Dose st: Discontinued rt: IV fr: Q2H:PRN di: Ongoing xv: 36 xu: Hours pi: 4371143 hi: 19952 t0: [11:00:00 28/12/2018] tf: [20:00:00 01/01/2019] mn: DOBUTamine pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xv: 36 xu: Hours
id: Temp. Site t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:30:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 6.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 6.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:30:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 3.25 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [09:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 36.75 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [10:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 36.75 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [10:30:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 18.375 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [09:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [10:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [10:30:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10.5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [09:00:00 28/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 4.5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [10:00:00 28/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 4.5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [10:30:00 28/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:30:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Gastric lavage t0: [09:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 500 vu: ml id: Gastric lavage t0: [09:00:00 28/12/2018] el: 2 cg: RN cu: CCU vo: 600 vu: ml id: Urine Out Foley t0: [10:30:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 360 vu: ml id: Gastric Oral Gastric t0: [08:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:30:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Gastric Meds t0: [09:00:00 28/12/2018] el: 1 ai: 111 cg: RN cu: CCU vo: 75 vu: ml
id: Corneal Reflex R/L t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Intact v2: Intact st: NotStopd id: Cough Reflex t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Dorsal PedPulse R/L t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Eye Opening t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: Gag Reflex t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Level of Conscious t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Orientation t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Pupil Response R/L t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: Responds to Stimuli t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Nail Bed v2: Withdraws st: NotStopd id: Spontaneous Movement t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Verbal Response t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: GI Prophylaxis t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: LLL Lung Sounds t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: Oral Cavity t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: RLL Lung Sounds t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: Respiratory Pattern t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd
pi: 4371275 hi: 19952 t0: [12:00:00 28/12/2018] tf: [11:00:00 28/12/2018] mn: Albuterol 0.083% Neb Soln pt: Unit Dose st: Discontinued rt: IH fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4371338 hi: 19952 t0: [12:00:00 28/12/2018] tf: [11:00:00 29/12/2018] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: IABP Mean t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: IABP setting t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: PAP S/D t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Respiratory Rate t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: BAEDP t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: SpO2 t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Arterial BP #2 t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: calprevflg t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [11:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [11:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [11:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [11:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [11:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Ectopy Frequency t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rhythm t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd
id: Fingerstick Glucose t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 156 n1: 156 rs: Manual st: NotStopd
id: Mixed Venous O2 t0: [11:23:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 37 n1: 37 rs: Final st: NotStopd
id: Art.pH t0: [11:27:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Glucose t0: [11:27:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 125 n1: 125 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:27:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:27:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:27:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:27:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:27:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Glucose (70-105) t0: [11:27:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 125 n1: 125 rs: Final st: NotStopd id: SaO2 t0: [11:27:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 1:2.8 st: NotStopd id: Airway Size t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 5.5 n1: 5.5 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 8.5 n1: 8.5 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 572 n1: 572 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: WBC (4-11,000) t0: [11:02:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 14.3 n1: 14.3 rs: Final st: NotStopd id: CaO2 t0: [11:27:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 13.6889 n1: 13.6889 u1: ml/dl st: NotStopd id: DO2 t0: [11:27:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 756 n1: 756 u1: ml/min st: NotStopd id: DO2I t0: [11:27:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 410.2 n1: 410.2 u1: ml/m/m st: NotStopd id: zzO2AV t0: [11:27:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 756 n1: 756 u1: ml/min st: NotStopd id: zzO2AVI t0: [11:27:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 410.87 n1: 410.87 u1: ml/m/m st: NotStopd id: WBC t0: [11:02:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 14.3 n1: 14.3 rs: Final st: NotStopd id: O2AV t0: [11:27:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 756 n1: 756 u1: ml/min st: NotStopd id: O2AVI t0: [11:27:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 410.87 n1: 410.87 u1: ml/m/m st: NotStopd id: Hematocrit t0: [11:02:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 28.8 n1: 28.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [11:02:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 10.2 n1: 10.2 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [11:02:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.34 n1: 3.34 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [11:02:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 14.3 n1: 14.3 rs: Final st: NotStopd
id: PCWP t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Sputum Color/Consist t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd
id: Cardiac Index t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2.93478 n1: 2.93478 u1: ... st: NotStopd id: LCW t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 4.4064 n1: 4.4064 u1: kg x m st: NotStopd id: LCWI t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2.3913 n1: 2.3913 u1: ... st: NotStopd id: LVSW t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 40.8 n1: 40.8 u1: g * m st: NotStopd id: LVSWI t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 22.2826 n1: 22.2826 u1: g*m/m2 st: NotStopd id: PVR t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 266.667 n1: 266.667 u1: ... st: NotStopd id: PVRI t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 491.468 n1: 491.468 u1: ... st: NotStopd id: RCW t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2.64384 n1: 2.64384 u1: kg * m st: NotStopd id: RCWI t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1.43478 n1: 1.43478 u1: ... st: NotStopd id: RVSW t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 24.48 n1: 24.48 u1: g * m st: NotStopd id: RVSWI t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 13.3152 n1: 13.3152 u1: g*m/m2 st: NotStopd id: SVI t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 27.1739 n1: 27.1739 u1: ... st: NotStopd id: SVR t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 666.667 n1: 666.667 u1: ... st: NotStopd id: SVRI t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1228.67 n1: 1228.67 u1: ... st: NotStopd id: Stroke Volume t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 49.5413 n1: 49.5413 u1: ml st: NotStopd id: Swan SVO2 t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: % st: NotStopd id: Mixed Venous O2% Sat t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 rs: Manual st: NotStopd id: C.O. (fick) t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5.41799 n1: 5.41799 u1: L/min st: NotStopd id: C.O.(thermodilution) t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5.4 n1: 5.4 u1: L/min st: NotStopd
id: Platelets t0: [11:02:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd
id: PTT t0: [11:02:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 48.4 n1: 48.4 rs: Final st: NotStopd id: PTT(22-35) t0: [11:02:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 48.4 n1: 48.4 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Less Restrict Meas. t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Less Restrict Meas. t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Range of Motion t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Swelling st: NotStopd id: Circulation/SkinInt t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Swelling st: NotStopd id: Circulation/SkinInt t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Swelling st: NotStopd id: Edema Location/Amt#1 t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: 2 mm st: NotStopd id: Edema Location/Amt#2 t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Education Topic #1 t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Family Communication t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Fam Talked to RN st: NotStopd id: Family Communication t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: Imp Skin Cleanse #1 t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Irrigation st: NotStopd id: ImpSkin Character #1 t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Laceration st: NotStopd id: ImpSkin Drain/Amt#1 t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Brown v2: Moderate st: NotStopd id: ImpSkin Treatment #1 t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Purple st: NotStopd id: Impaired Skin Site#1 t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Position Change t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PressSoreCleansing#1 t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: Pressure Sore Site#1 t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Reason For Restraint t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Pale st: NotStopd id: Skin Integrity t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Diaphoretic st: NotStopd id: Support Systems t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Behavior t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Eye Care t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Activity t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: KneeImmobilizer/Loc t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: Oral Care t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: ROM t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Passive v2: All Extremities st: NotStopd id: Skin Care t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: HOB Measurement t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Back Care t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: MDI #1 (Puff/Drug) t0: [14:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [14:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 v2: Atrovent st: NotStopd
id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [16:00:00 28/12/2018] el: 1 ai: 190 cg: -1 cu: CCU vo: 0 st: D/C'd id: Gastric lavage t0: [16:00:00 28/12/2018] el: 1 cg: -1 cu: CCU vo: 0 st: D/C'd id: Gastric lavage t0: [16:00:00 28/12/2018] el: 2 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Fingerstick Glucose t0: [16:00:00 28/12/2018] el: 0 cg: CoWker cu: CCU v1: 150 n1: 150 rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: CVP t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: IABP setting t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: PAP Mean t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: PAP S/D t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: PAP S/D t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Previous Weight t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: Previous WeightF t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: Previous WeightF t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Respiratory Rate t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: BAEDP t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: SpO2 t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Arterial BP #2 t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: calprevflg t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [13:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [15:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [13:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [15:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [16:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [13:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [15:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [16:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [13:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [15:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [16:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [13:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [15:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: 29.4118 n1: 29.4118 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: 5.5 n1: 5.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: 4 n1: 4 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: 8.5 n1: 8.5 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: 560 n1: 560 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: RAMP st: NotStopd
id: Inspired Gas Temp t0: [16:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd
id: Riker-SAS Scale t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [15:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Temp. Site t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temp. Site t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Temperature F t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Insulin Guideline t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Fentanyl t0: [17:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [17:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [17:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [16:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [17:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Level t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Level/Response t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Present t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Present t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: PainLevel Acceptable t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Daily Wake Up t0: [13:00:00 28/12/2018] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Cause t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Location t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Pain Management t0: [13:00:00 28/12/2018] el: 1 cg: RN cu: CCU v1: IV Push v2: Backrub st: NotStopd id: Pain Type t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Intermittent st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 16.25 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [13:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 91.875 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [15:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 73.5 vu: ml id: Packed RBC's t0: [06:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 375 vu: ml uu: Units nb: 1 id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [13:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 52.5 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [15:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 42 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [13:00:00 28/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [15:00:00 28/12/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [13:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 300 vu: ml id: Urine Out Foley t0: [14:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 280 vu: ml id: Urine Out Foley t0: [15:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 140 vu: ml id: Urine Out Foley t0: [16:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 500 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
io: Promote w/fiber el: 1 cg: RN cu: CCU ra: 10 ru: ml/hr
id: .9% Normal Saline 1000.0ml t0: [17:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [17:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 68.25 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [17:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 42 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [17:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Promote w/fiber t0: [16:00:00 28/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Gastric Oral Gastric t0: [15:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: Service Type t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU u1: mmHg st: NotStopd id: CVP t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: CVP t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP setting t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU u1: mmHg st: NotStopd id: PAP Mean t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: PAP Mean t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP S/D t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU u1: mmHg u2: mmHg st: NotStopd id: PAP S/D t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: PAP S/D t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: Previous WeightF t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Arterial BP #2 t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: calprevflg t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [18:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [18:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [18:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [18:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [18:00:00 28/12/2018] el: 0 cg: CoWker cu: CCU v1: 163 n1: 163 rs: Manual st: NotStopd
id: IV #1 Reason DC'D t0: [18:00:00 28/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Reason DC'D t0: [18:00:00 28/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3 D/C Date t0: [18:00:00 28/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 D/C Date t0: [18:00:00 28/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 Insert Date t0: [18:00:00 28/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 Site/Size t0: [18:00:00 28/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 D/C Date t0: [18:00:00 28/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Insert Date t0: [18:00:00 28/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Site/Size t0: [18:00:00 28/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #1 t0: [18:00:00 28/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #2 t0: [18:00:00 28/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: PT Splint Loc/Stat#1 t0: [18:00:00 28/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 Cap Change t0: [18:00:00 28/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#3 Cap Change t0: [18:00:00 28/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: In-Line Sx Change t0: [18:00:00 28/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: WarmingDevice/Status t0: [18:00:00 28/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd
id: D5W 100.0ml t0: [13:00:00 28/12/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [18:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 26.25 vu: ml id: Gastric Meds t0: [18:00:00 28/12/2018] el: 1 ai: 111 cg: RN cu: CCU vo: 30 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [18:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [17:00:00 28/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [18:00:00 28/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: MDI #2 (Puff/Drug) t0: [18:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: 4 n1: 4 v2: Atrovent st: NotStopd id: Sputum Color/Consist t0: [18:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 28/12/2018] el: 0 cg: SRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd
id: WBC (4-11,000) t0: [18:07:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd id: WBC t0: [18:07:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd id: Previous Weight t0: [18:00:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: Hematocrit t0: [18:07:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 27.2 n1: 27.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [18:07:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 9.5 n1: 9.5 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [18:07:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.16 n1: 3.16 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [18:07:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd
id: Gastric Out Total t0: [23:00:00 28/12/2018] el: 2 cg: 1663 cu: CCU cv: 550 ac: 24 ap: none re: 0
id: Capillary Refill R/L t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Capillary Refill R/L t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Corneal Reflex R/L t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Intact v2: Intact st: NotStopd id: Cough Reflex t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diastolic Unloading t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Diet Type t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Guaiac/ph t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Negative v2: 3 n2: 3 st: NotStopd id: GI Intub #1/Site t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Low Intermittent v2: Brown st: NotStopd id: Gag Reflex t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Height of Bed t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: IABP Mean t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Abdominal Assessment t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Abdominal Assessment t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LL Strength/Movement t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLE Temp/Color t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LU Strength/Movement t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LUE Temp/Color t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LUE Temp/Color t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Angio Appearance #2 t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assisted Systole t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Pupil Size R/L t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: RL Strength/Movement t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: RLE Temp/Color t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLE Temp/Color t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RU Strength/Movement t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: RUE Temp/Color t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Respiratory Pattern t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Seizure Activity t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: BAEDP t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Spontaneous Movement t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Systolic Unloading t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Urine Color/Appear t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: Capillary Refill R/L t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Cough Reflex t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Intub Site t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Guaiac/ph t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: GI Intub #1/Site t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: GI#1 Tube Stat/Drain t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: GU Catheter Size t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Abdominal Assessment t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LUE Temp/Color t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Pupil Response R/L t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Spontaneous Movement t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Bowel Sounds t0: [17:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: PressSore Wth/Lth #1 t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 4 cm v2: 4 cm st: NotStopd id: PressSoreTreatment#1 t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: PressSoreWoundBase#1 t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Purple st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Less Restrict Meas. t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Less Restrict Meas. t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Range of Motion t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: 2 mm st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: 2 mm st: NotStopd id: Edema Location/Amt#1 t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: 2 mm st: NotStopd id: Edema Location/Amt#2 t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Edema Location/Amt#2 t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Edema Location/Amt#2 t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Education Topic #1 t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Laceration st: NotStopd id: ImpSkin Drain/Amt#1 t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Brown v2: Small st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Purple st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Impaired Skin Site#1 t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Position Change t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PresSoreStage/Heal#1 t0: [09:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Red, Unbroken v2: No st: NotStopd id: PresSoreStage/Heal#1 t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Red, Unbroken v2: No st: NotStopd id: PressSore Wth/Lth #1 t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 4 cm v2: 4 cm st: NotStopd id: PressSoreTreatment#1 t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: PressSoreWoundBase#1 t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Purple st: NotStopd id: Pressure Sore Site#1 t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Reason For Restraint t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Support Systems t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Support Systems t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Support Systems t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Pt./Family Informed t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Education Barrier t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Anxiety st: NotStopd id: Education Handout t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Response t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Medications st: NotStopd id: Education Topic #2 t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Nursing Consultation t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Social Services st: NotStopd
id: Eye Care t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: HOB t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Activity t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: Activity Tolerance t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: KneeImmobilizer/Loc t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: KneeImmobilizer/Loc t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: Oral Care t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PT Splint Loc/Stat#1 t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU st: NotStopd id: Position t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: ROM t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Passive v2: Both Arms st: NotStopd id: ROM t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Passive v2: Both Arms st: NotStopd id: Skin Care t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Back Care t0: [14:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: INV Line#1 Type/Site t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Ecchymotic st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Bleeding st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Ecchymotic st: NotStopd id: INV Line#4 Type/Site t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 D/C Date t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: IV #1 Insert Date t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 D/C Date t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: IV #2 Insert Date t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: LL Post Forearm v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Swelling st: NotStopd id: IV Site Appear #2 t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: INV#4 Dsg Change t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#4 Tubing Change t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd
id: Calcium t0: [18:07:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Magnesium t0: [18:07:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous t0: [18:07:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [18:07:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [18:07:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [18:07:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd
id: Diastolic Unloading t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: IABP Mean t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Assisted Systole t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Augmented Diastole t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: BAEDP t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Systolic Unloading t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [19:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 26.25 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [19:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [19:00:00 28/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [19:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Temp. Site t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 38.0556 n1: 38.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 100.5 n1: 100.5 u1: Deg. F st: NotStopd
id: Platelets t0: [18:07:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 80 n1: 80 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 29.4118 n1: 29.4118 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 1:2.4 st: NotStopd id: Airway Size t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 5.5 n1: 5.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 7.9 n1: 7.9 u1: L/min st: NotStopd id: PEEP Set t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 1 n1: 1 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 2800 n1: 2800 st: NotStopd id: Tank B psi. t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 2100 n1: 2100 st: NotStopd id: Ve High t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Total PEEP Level t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:05:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: IABP setting t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP S/D t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Respiratory Rate t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: SpO2 t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: Arterial BP #2 t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Temp. Site t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [20:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [20:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [20:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [20:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [20:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 26.25 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [20:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [20:00:00 28/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
pi: 4372917 hi: 19952 t0: [21:00:00 28/12/2018] tf: [20:00:00 29/12/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: NG fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4372955 hi: 19952 t0: [21:00:00 28/12/2018] tf: [20:00:00 29/12/2018] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Fingerstick Glucose t0: [20:00:00 28/12/2018] el: 0 cg: CoWker cu: CCU v1: 148 n1: 148 rs: Manual st: NotStopd
id: Pain Present t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Riker-SAS Scale t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd
id: Capillary Refill R/L t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Corneal Reflex R/L t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Intact v2: Intact st: NotStopd id: Cough Reflex t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Diet Type t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: GU Catheter Size t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: LL Strength/Movement t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LU Strength/Movement t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUE Temp/Color t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Orientation t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Pupil Response R/L t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RU Strength/Movement t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Respiratory Pattern t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Spontaneous Movement t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Source t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Range of Motion t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: 2 mm st: NotStopd id: Edema Location/Amt#2 t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Education Topic #1 t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Family Communication t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: Abdominal Assessment t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Position Change t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Reason For Restraint t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Support Systems t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Urine Color/Appear t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Behavior t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: HOB t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Position t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: INV#4 Dsg Change t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: ROM t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Passive v2: All Extremities st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#4 Tubing Change t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: Therapeutic Bed t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd
id: Art.pH t0: [20:44:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [20:44:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [20:44:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [20:44:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [20:44:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [20:44:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Hematocrit t0: [20:44:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 u1: % rs: Final st: NotStopd
id: Service Type t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: CaO2 t0: [20:44:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12.2711 n1: 12.2711 u1: ml/dl st: NotStopd id: Cardiac Index t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 3.36957 n1: 3.36957 u1: ... st: NotStopd id: Code Status t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: DO2I t0: [20:44:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 404.4 n1: 404.4 u1: ml/m/m st: NotStopd id: Risk for Falls t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Diastolic Unloading t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Ectopy Frequency t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: IABP Mean t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: IABP setting t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: PAP Mean t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: PAP S/D t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP S/D t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Arterial BP t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Assisted Systole t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Previous Weight t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: Previous WeightF t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Augmented Diastole t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Respiratory Rate t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SVR t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 709.677 n1: 709.677 u1: ... st: NotStopd id: SVRI t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1305.64 n1: 1305.64 u1: ... st: NotStopd id: BAEDP t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: BAEDP t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: SpO2 t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: % st: NotStopd id: Systolic Unloading t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: % st: NotStopd id: Arterial BP #2 t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Temp. Site t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: calprevflg t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Hemoglobin t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 rs: Manual st: NotStopd id: SaO2 t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [20:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 6.15204 n1: 6.15204 u1: L/min st: NotStopd
id: Fentanyl t0: [20:30:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:30:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [20:30:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [20:30:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [21:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [20:30:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [21:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PCWP t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: Temperature C (calc) t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd
id: ABI (L) t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 0.888889 n1: 0.888889 u1: . st: NotStopd id: ABI (R) t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 0.666667 n1: 0.666667 u1: . st: NotStopd id: ABI Ankle BP R/L t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: ABI Brachial BP R/L t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd
id: TF Residual t0: [21:00:00 28/12/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [21:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 26.25 vu: ml id: Packed RBC's t0: [21:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vu: ml uu: Units nb: 1 id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [21:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [21:00:00 28/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Blood Products Total t0: [23:00:00 28/12/2018] el: 2 cg: RN cu: CCU cv: 375 ac: 24 ap: none re: 0
id: Sputum Color/Consist t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd
id: Less Restrict Meas. t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Range of Motion t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: 2 mm st: NotStopd id: Edema Location/Amt#2 t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Health Care Proxy t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Care t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: IABP setting t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Activity t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Oral Care t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PAP Mean t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: PAP S/D t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Pressure Sore Site#1 t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: ROM t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Passive v2: All Extremities st: NotStopd id: Augmented Diastole t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Reason For Restraint t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Side Rails t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Arterial BP #2 t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Therapeutic Bed t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Back Care t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [22:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 26.25 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [22:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [22:00:00 28/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 300 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [22:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [22:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [22:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [22:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Cough Reflex t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: GU Catheter Size t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Abdominal Assessment t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LU Strength/Movement t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUE Temp/Color t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PressSoreTreatment#1 t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: Pupil Response R/L t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Skin Integrity t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Compliance (40-60ml) t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 26.3158 n1: 26.3158 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 1:2.4 st: NotStopd id: Airway Size t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 5.5 n1: 5.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 8.4 n1: 8.4 u1: L/min st: NotStopd id: PEEP Set t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 520 n1: 520 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Total PEEP Level t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [22:46:00 28/12/2018] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: IABP setting t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: PAP S/D t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Respiratory Rate t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: SpO2 t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Arterial BP #2 t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Temp. Site t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd id: calprevflg t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 28/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [23:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 26.25 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [23:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 28/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [23:00:00 28/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 320 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 28/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [23:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [23:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [23:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [23:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 9 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 28/12/2018] el: 2 cg: RN cu: CCU pv: 80.25 cv: 2450 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 28/12/2018] el: 2 cg: RN cu: CCU pv: 320 cv: 320 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 28/12/2018] el: 2 cg: RN cu: CCU pv: 10 cv: 70 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 28/12/2018] el: 2 cg: RN cu: CCU pv: 320 cv: 3490 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 28/12/2018] el: 2 cg: RN cu: CCU pv: 320 cv: 4640 ac: 24 ap: none re: 0
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 28/12/2018] el: 1 ai: 117 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Fingerstick Glucose t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 161 n1: 161 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Pain Present t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Capillary Refill R/L t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Circulation/SkinInt t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: 2 mm st: NotStopd id: Edema Location/Amt#2 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: GU Catheter Size t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: IABP setting t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: IV #3 Insert Date t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #3 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: LL Strength/Movement t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LU Strength/Movement t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUE Temp/Color t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Angio Dressing #2 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: PAP S/D t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: INV#4 Dsg Change t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: ROM t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Passive v2: Both Arms st: NotStopd id: RU Strength/Movement t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Augmented Diastole t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Reason For Restraint t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: BAEDP t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Side Rails t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Arterial BP #2 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#4 Tubing Change t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: Therapeutic Bed t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [00:00:00 29/12/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 29/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [00:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 23.625 vu: ml id: Packed RBC's t0: [00:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 375 vu: ml uu: Units id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [00:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [00:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [00:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [00:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [00:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 8 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Blood Products Total t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU cv: 375 ac: 24 ap: none re: 0
id: Alarms t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: TF Residual t0: [00:00:00 29/12/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 160 vu: ml
id: Promote w/fiber t0: [00:00:00 29/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml st: Stopped
id: Argatroban io: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban el: 100 cg: RN cu: CCU am: 250 du: mcgkgmin rt: IV Drip
pi: 4373455 hi: 19952 t0: [01:00:00 29/12/2018] tf: [10:00:00 03/01/2019] mn: Argatroban pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label
id: Magnesium t0: [23:33:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Potassium t0: [23:33:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [23:33:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [23:33:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd
id: PTT t0: [23:33:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 48.1 n1: 48.1 rs: Final st: NotStopd id: PTT(22-35) t0: [23:33:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 48.1 n1: 48.1 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Ectopy Frequency t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: 2 mm st: NotStopd id: Edema Location/Amt#2 t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Health Care Proxy t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Heart Rate t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: IABP Mean t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: IABP setting t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: PAP Mean t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: PAP Mean t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg st: NotStopd id: PAP S/D t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: PAP S/D t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: PCWP t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Assisted Systole t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Pressure Sore Site#1 t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: Previous WeightF t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Augmented Diastole t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Reason For Restraint t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: BAEDP t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Side Rails t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: % st: NotStopd id: Systolic Unloading t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Arterial BP #2 t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Temp. Site t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: calprevflg t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 29/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 29/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [01:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [02:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [01:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [02:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [01:00:00 29/12/2018] el: 1 ai: 168 cg: RN cu: CCU vu: ml id: Urine Out Foley t0: [01:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: Urine Out Foley t0: [02:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [01:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [01:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [02:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [01:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 8 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [02:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Capillary Refill R/L t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Corneal Reflex R/L t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Intact v2: Intact st: NotStopd id: Cough Reflex t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Diet Type t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: GU Catheter Size t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Abdominal Assessment t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LL Strength/Movement t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: LLE Temp/Color t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUE Temp/Color t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Angio Dressing #2 t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Pupil Response R/L t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Spontaneous Movement t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Therapeutic Bed t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: Argatroban t0: [01:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Argatroban t0: [02:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [01:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 26.3158 n1: 26.3158 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: Hemodyn Instabil st: NotStopd id: ETT Mark/Location t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 1:2.8 st: NotStopd id: Airway Size t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 5.5 n1: 5.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 7.9 n1: 7.9 u1: L/min st: NotStopd id: PEEP Set t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 510 n1: 510 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Total PEEP Level t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: GI Intub #1/Site t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Low Intermittent st: NotStopd id: GU Cath Insert Date t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: GU Catheter Size t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: IABP Mean t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: IABP setting t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Abdominal Assessment t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Angio Appearance #1 t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Angio Dressing #1 t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Angio Dressing #2 t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Site #1 t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: PAP S/D t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Respiratory Pattern t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Systolic Unloading t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: % st: NotStopd id: Arterial BP #2 t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Temp. Site t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Urine Source t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [03:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [03:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [03:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [03:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [03:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Ectopy Frequency t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rhythm t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd
id: PTT t0: [03:05:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 50.1 n1: 50.1 rs: Final st: NotStopd id: PTT(22-35) t0: [03:05:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 50.1 n1: 50.1 rs: Final st: NotStopd
id: Art.pH t0: [04:00:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:00:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:00:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:00:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:00:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 120 n1: 120 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:00:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Hematocrit t0: [04:00:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 u1: % rs: Final st: NotStopd id: SaO2 t0: [04:00:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Service Type t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Ectopy Frequency t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: IABP setting t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: PAP S/D t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: PCWP t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Respiratory Rate t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: BAEDP t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: SpO2 t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: % st: NotStopd id: Arterial BP #2 t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: calprevflg t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [04:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [04:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [04:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [04:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Cardiac Index t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 3.15217 n1: 3.15217 u1: ... st: NotStopd id: Code Status t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Ectopy Frequency t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: IABP setting t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: PAP S/D t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PCWP t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: PVRI t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 406.349 n1: 406.349 u1: ... st: NotStopd id: Arterial BP t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Respiratory Rate t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SVR t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 813.793 n1: 813.793 u1: ... st: NotStopd id: SVRI t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1498.41 n1: 1498.41 u1: ... st: NotStopd id: BAEDP t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: SpO2 t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: % st: NotStopd id: Arterial BP #2 t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Temp. Site t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: calprevflg t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Hemoglobin t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10.2 n1: 10.2 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 rs: Manual st: NotStopd id: SaO2 t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [04:15:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 5.80263 n1: 5.80263 u1: L/min st: NotStopd
id: Fentanyl t0: [04:15:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:15:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [04:15:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:15:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [04:15:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [04:15:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 12.2 n1: 12.2 rs: Final st: NotStopd id: CaO2 t0: [04:00:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 13.504 n1: 13.504 u1: ml/dl st: NotStopd id: DO2I t0: [04:00:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 441 n1: 441 u1: ml/m/m st: NotStopd id: WBC t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 12.2 n1: 12.2 rs: Final st: NotStopd id: Hematocrit t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 27.2 n1: 27.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 69 n1: 69 rs: Final st: NotStopd id: RBC t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.21 n1: 3.21 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 12.2 n1: 12.2 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Daily Wake Up t0: [04:00:00 29/12/2018] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: 2 mm st: NotStopd id: Edema Location/Amt#2 t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Education Topic #1 t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: HOB t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Activity t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Position Change t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ROM t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Passive v2: Both Arms st: NotStopd id: Reason For Restraint t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Therapeutic Bed t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Behavior t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 29/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 29/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [03:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 18.375 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [04:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 18.375 vu: ml id: Gastric Meds t0: [22:00:00 28/12/2018] el: 1 ai: 111 cg: RN cu: CCU vo: 60 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [03:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [04:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [04:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Gastric Oral Gastric t0: [04:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Gastric Out Total t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU cv: 50 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 28/12/2018] el: 2 cg: RN cu: CCU pv: 90.25 cv: 3560 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 28/12/2018] el: 2 cg: RN cu: CCU cv: 165 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 28/12/2018] el: 2 cg: RN cu: CCU pv: -229.75 cv: -1080 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 28/12/2018] el: 2 cg: RN cu: CCU pv: -229.75 cv: 8421.5 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 28/12/2018] el: 2 cg: RN cu: CCU pv: -229.75 cv: -229.75 ac: 1 ap: none re: 0
id: Fingerstick Glucose t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 138 n1: 138 rs: Manual st: NotStopd
id: BUN t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd id: Calcium t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 121 n1: 121 rs: Final st: NotStopd id: Magnesium t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 135 n1: 135 rs: Final st: NotStopd id: ALT t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 82 n1: 82 rs: Final st: NotStopd id: BUN (6-20) t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 121 n1: 121 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 135 n1: 135 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Capillary Refill R/L t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Circulation/SkinInt t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough Reflex t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Risk for Falls t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: Diet Type t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: 2 mm st: NotStopd id: Edema Location/Amt#2 t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Low Intermittent st: NotStopd id: GU Cath Insert Date t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: GU Catheter Size t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Heart Rate t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: IABP setting t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Abdominal Assessment t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: LL Strength/Movement t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: LLE Temp/Color t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LU Strength/Movement t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUE Temp/Color t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Angio Dressing #2 t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: PAP S/D t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Pressure Sore Site#1 t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RU Strength/Movement t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Augmented Diastole t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Reason For Restraint t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Responds to Stimuli t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: BAEDP t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Side Rails t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: % st: NotStopd id: Arterial BP #2 t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Urine Color/Appear t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 29/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [05:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 18.375 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [05:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [05:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [05:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [05:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [05:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [05:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [05:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: IABP setting t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg st: NotStopd id: PAP S/D t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Respiratory Rate t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: BAEDP t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: SpO2 t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Arterial BP #2 t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Temp. Site t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 29/12/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [06:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 18.375 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [06:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [06:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [06:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [06:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [06:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Dopamine t0: [07:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4373902 hi: 19952 t0: [08:00:00 29/12/2018] tf: [07:00:00 30/12/2018] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 29/12/2018] el: 1 ai: 117 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 29/12/2018] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Response t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Low Intermittent st: NotStopd id: GU Cath Insert Date t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: GU Catheter Size t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Heart Rate t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: IABP setting t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #3 t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLE Temp/Color t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LLL Lung Sounds t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LUL Lung Sounds t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #2 t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: PAP S/D t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PCWP t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: INV#4 Dsg Change t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: Previous WeightF t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: RLE Temp/Color t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: RLL Lung Sounds t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: RUL Lung Sounds t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Reason For Restraint t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: BAEDP t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Side Rails t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Systolic Unloading t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Arterial BP #2 t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#4 Tubing Change t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: Temp. Site t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [08:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 34.125 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [08:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 42 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [08:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [08:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [08:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [08:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [08:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: ABP Alarm (Lo/Hi) t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd
id: Compliance (40-60ml) t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 26.3158 n1: 26.3158 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 1:2.8 st: NotStopd id: Airway Size t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 5.5 n1: 5.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 7.5 n1: 7.5 u1: L/min st: NotStopd id: PEEP Set t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 2600 n1: 2600 st: NotStopd id: Ve High t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 508 n1: 508 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:45:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: CVP t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: IABP setting t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: PAP S/D t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Previous WeightF t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: Augmented Diastole t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Radiologic Study t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: SpO2 t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Arterial BP #2 t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: calprevflg t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [09:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 15.75 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [09:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 340 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [09:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [09:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [09:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [09:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Family Communication t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Fam Talked to RN st: NotStopd id: Heart Rate t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: IABP setting t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg st: NotStopd id: PAP S/D t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Reason For Restraint t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Side Rails t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Arterial BP #2 t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Temp. Site t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: calprevflg t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [10:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 15.75 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 380 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [10:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [10:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [10:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [10:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [10:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml nb: 1
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:30:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vu: ml nb: 1
pi: 4374418 hi: 19952 t0: [12:00:00 29/12/2018] tf: [12:00:00 29/12/2018] mn: Metoclopramide pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q6H ds: 12, 18, 0, 6 dn: 4 di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [11:52:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Glucose t0: [11:52:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 128 n1: 128 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:52:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:52:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:52:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:52:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:52:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Glucose (70-105) t0: [11:52:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 128 n1: 128 rs: Final st: NotStopd
pi: 4374620 hi: 19952 t0: [13:00:00 29/12/2018] tf: [12:00:00 30/12/2018] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4374621 hi: 19952 t0: [18:00:00 29/12/2018] tf: [19:00:00 08/01/2019] mn: Metoclopramide pt: Unit Dose st: Discontinued rt: IV fr: Q6H ds: 12, 18, 0, 6 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4374622 hi: 19952 t0: [20:00:00 29/12/2018] tf: [19:00:00 08/01/2019] mn: Docusate Sodium (Liquid) pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4374623 hi: 19952 t0: [20:00:00 29/12/2018] tf: [09:00:00 02/01/2019] mn: Senna 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: Hematocrit t0: [11:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 27.4 n1: 27.4 u1: % rs: Final st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: 2 mm st: NotStopd id: Edema Location/Amt#2 t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Education Barrier t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Response t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Low Intermittent st: NotStopd id: Gag Reflex t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: HOB t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: IABP setting t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Abdominal Assessment t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: KneeImmobilizer/Loc t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: KneeImmobilizer/Loc t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: LLE Temp/Color t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LLL Lung Sounds t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LUL Lung Sounds t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #2 t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP S/D t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: PressSoreTreatment#1 t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: RLL Lung Sounds t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: RUL Lung Sounds t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Reason For Restraint t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: BAEDP t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Side Rails t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Arterial BP #2 t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Temp. Site t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: HOB Measurement t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Verbal Response t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [12:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 31.5 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [12:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 42 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [12:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 240 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [12:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [12:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [12:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [12:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 26.3158 n1: 26.3158 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 1:2.8 st: NotStopd id: Airway Size t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 5.5 n1: 5.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 7.8 n1: 7.8 u1: L/min st: NotStopd id: PEEP Set t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 490 n1: 490 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:10:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: PT t0: [11:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 17.6 n1: 17.6 rs: Final st: NotStopd id: INR t0: [11:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: PTT t0: [11:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 51 n1: 51 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [11:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: PT(11-13.5) t0: [11:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 17.6 n1: 17.6 rs: Final st: NotStopd id: PTT(22-35) t0: [11:29:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 51 n1: 51 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 29/12/2018] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: Risk for Falls t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: IABP setting t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Oral Care t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PAP Mean t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: PAP S/D t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Reason For Restraint t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Side Rails t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Arterial BP #2 t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: calprevflg t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [11:00:00 29/12/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [08:00:00 29/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [11:00:00 29/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [14:00:00 29/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 15.75 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [14:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 28.875 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [14:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 42 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [14:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [14:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [14:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [13:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [14:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Urine Out Foley t0: [14:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: CVP t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Ectopy Frequency t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: IABP setting t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP S/D t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Assisted Systole t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Previous WeightF t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: Augmented Diastole t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Respiratory Rate t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: SpO2 t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Systolic Unloading t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Arterial BP #2 t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: calprevflg t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [15:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [15:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [15:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [15:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 26.3158 n1: 26.3158 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 1:2.8 st: NotStopd id: Airway Size t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 5.5 n1: 5.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 7.9 n1: 7.9 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 507 n1: 507 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Total PEEP Level t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [16:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 29/12/2018] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: Risk for Falls t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [16:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: 2 mm st: NotStopd id: Edema Location/Amt#2 t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Health Care Proxy t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Family Communication t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: HOB t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: HOB t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [16:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Junctional st: NotStopd id: Heart Rhythm t0: [16:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [16:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: IABP setting t0: [16:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV #3 Insert Date t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: Activity Tolerance t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: KneeImmobilizer/Loc t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: KneeImmobilizer/Loc t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: PAP Mean t0: [16:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: PAP S/D t0: [16:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: Arterial BP t0: [16:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [16:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: PressSoreTreatment#1 t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 30 n2: 30 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: INV#4 Dsg Change t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: Previous WeightF t0: [16:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: EKG st: NotStopd id: Augmented Diastole t0: [16:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Reason For Restraint t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [16:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Side Rails t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Pale st: NotStopd id: Skin Integrity t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Cool v2: Dry st: NotStopd id: SpO2 t0: [16:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [16:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Arterial BP #2 t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [16:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [16:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#4 Tubing Change t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: Temp. Site t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: HOB Measurement t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: HOB Measurement t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: calprevflg t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [16:00:00 29/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 12.6 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [16:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 26.25 vu: ml id: Gastric Meds t0: [09:00:00 29/12/2018] el: 1 ai: 111 cg: RN cu: CCU vo: 50 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [16:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 42 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Promote w/fiber t0: [12:00:00 29/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Promote w/fiber t0: [13:00:00 29/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [14:00:00 29/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [15:00:00 29/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [16:00:00 29/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 240 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [16:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [16:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [16:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [16:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [17:05:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Arterial Base Excess t0: [17:05:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:05:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:05:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:05:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 127 n1: 127 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:05:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd
id: Glucose t0: [17:05:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 118 n1: 118 rs: Final st: NotStopd id: Glucose (70-105) t0: [17:05:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 118 n1: 118 rs: Final st: NotStopd
id: CVP t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Cardiac Index t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 3.8587 n1: 3.8587 u1: ... st: NotStopd id: Diastolic Unloading t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: % st: NotStopd id: Ectopy Frequency t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: IABP setting t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: PAP S/D t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Assisted Systole t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Previous WeightF t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: Augmented Diastole t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Respiratory Rate t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SVR t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 585.915 n1: 585.915 u1: ... st: NotStopd id: SVRI t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1077.72 n1: 1077.72 u1: ... st: NotStopd id: BAEDP t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: SpO2 t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Arterial BP #2 t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: calprevflg t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Mixed Venous O2% Sat t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 rs: Manual st: NotStopd id: C.O. (fick) t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 7.06345 n1: 7.06345 u1: L/min st: NotStopd
id: WBC (4-11,000) t0: [16:59:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 11.8 n1: 11.8 rs: Final st: NotStopd id: Cardiac Index t0: [17:00:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.93478 n1: 2.93478 u1: ... st: NotStopd id: WBC t0: [16:59:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 11.8 n1: 11.8 rs: Final st: NotStopd id: SVR t0: [17:00:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 859.259 n1: 859.259 u1: ... st: NotStopd id: SVRI t0: [17:00:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 1583.62 n1: 1583.62 u1: ... st: NotStopd id: Hematocrit t0: [16:59:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 26.8 n1: 26.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [16:59:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 9.6 n1: 9.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [16:59:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 58 n1: 58 rs: Final st: NotStopd id: RBC t0: [16:59:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.14 n1: 3.14 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [16:59:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 11.8 n1: 11.8 rs: Final st: NotStopd id: C.O. (fick) t0: [17:00:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 5.41799 n1: 5.41799 u1: L/min st: NotStopd
id: Chloride t0: [16:59:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Potassium t0: [16:59:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [16:59:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 135 n1: 135 rs: Final st: NotStopd id: Chloride (100-112) t0: [16:59:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:59:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [16:59:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 135 n1: 135 rs: Final st: NotStopd
pi: 4375233 hi: 19952 t0: [19:00:00 29/12/2018] tf: [18:00:00 30/12/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4375234 hi: 19952 t0: [19:00:00 29/12/2018] tf: [18:00:00 30/12/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: NG fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: BUN t0: [16:59:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd id: Creatinine t0: [16:59:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [16:59:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 120 n1: 120 rs: Final st: NotStopd id: Magnesium t0: [16:59:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: BUN (6-20) t0: [16:59:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd id: Carbon Dioxide t0: [16:59:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [16:59:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [16:59:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 120 n1: 120 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [16:59:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Eye Opening t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: GU Catheter Size t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: IABP Mean t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: IABP setting t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Abdominal Assessment t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: KneeImmobilizer/Loc t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: LLE Temp/Color t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LLL Lung Sounds t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LUL Lung Sounds t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #2 t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg st: NotStopd id: PAP S/D t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: RLL Lung Sounds t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: RUL Lung Sounds t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Reason For Restraint t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: BAEDP t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Side Rails t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Systolic Unloading t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Arterial BP #2 t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Temp. Site t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: HOB Measurement t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: mmHg st: NotStopd id: Verbal Response t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [18:00:00 29/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 12.6 vu: ml id: TF Residual t0: [18:00:00 29/12/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [18:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 26.25 vu: ml id: Gastric Meds t0: [18:00:00 29/12/2018] el: 1 ai: 111 cg: RN cu: CCU vo: 40 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [18:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 42 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Promote w/fiber t0: [18:00:00 29/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [18:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 180 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [17:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [17:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Argatroban t0: [18:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [17:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [18:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [17:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [18:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 26.3158 n1: 26.3158 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 1:2.8 st: NotStopd id: Airway Size t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 5.5 n1: 5.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 7.8 n1: 7.8 u1: L/min st: NotStopd id: PEEP Set t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 0.6 n1: 0.6 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 2800 n1: 2800 st: NotStopd id: Tank B psi. t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 2300 n1: 2300 st: NotStopd id: Ve High t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 490 n1: 490 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Total PEEP Level t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 5.6 n1: 5.6 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:20:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [20:00:00 29/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 12.6 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [21:00:00 29/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 6.3 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [20:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 26.25 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [21:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 13.125 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [20:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 42 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [21:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [20:00:00 29/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 40 vu: ml id: Promote w/fiber t0: [21:00:00 29/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [20:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 500 vu: ml id: Urine Out Foley t0: [21:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 500 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Pain Present t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: IABP Mean t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: IABP setting t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: PAP Mean t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: PAP S/D t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: PAP S/D t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Assisted Systole t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: Previous WeightF t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Augmented Diastole t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Respiratory Rate t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: BAEDP t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: SpO2 t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Systolic Unloading t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Arterial BP #2 t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Temp. Site t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [20:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Argatroban t0: [21:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [20:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [21:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [20:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [21:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Corneal Reflex R/L t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Intact v2: Intact st: NotStopd id: Cough Reflex t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: 2 mm st: NotStopd id: Edema Location/Amt#2 t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: GU Catheter Size t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: INV Line#1 Type/Site t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #3 t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: LL Strength/Movement t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LU Strength/Movement t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUE Temp/Color t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Angio Dressing #2 t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PCWP t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: PressSoreTreatment#1 t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: INV#2 Dsg Change t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 30 n2: 30 st: NotStopd id: INV#3 Dsg Change t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: INV#4 Dsg Change t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Pupil Response R/L t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RU Strength/Movement t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Reason For Restraint t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: INV#1 Tubing Change t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#2 Tubing Change t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#3 Tubing Change t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#4 Tubing Change t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: Urine Color/Appear t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: TF Residual t0: [21:00:00 29/12/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 5 vu: ml id: Gastric Meds t0: [21:00:00 29/12/2018] el: 1 ai: 111 cg: RN cu: CCU vo: 100 vu: ml
id: PO/Gastric In Total t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU cv: 190 ac: 24 ap: none re: 0
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [22:00:00 29/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 6.3 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [22:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 13.125 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [22:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [22:00:00 29/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [22:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Less Restrict Meas. t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: 2 mm st: NotStopd id: Edema Location/Amt#2 t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Health Care Proxy t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Care t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: HOB t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: IABP setting t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Activity t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: PAP Mean t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: PAP S/D t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Position t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Pressure Sore Site#1 t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Reason For Restraint t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: Side Rails t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: Arterial BP #2 t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Temp. Site t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: HOB Measurement t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: mmHg st: NotStopd id: Back Care t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Fentanyl t0: [22:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [22:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [22:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [22:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PTT t0: [21:14:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 50.2 n1: 50.2 rs: Final st: NotStopd id: PTT(22-35) t0: [21:14:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 50.2 n1: 50.2 rs: Final st: NotStopd
id: Art.pH t0: [22:00:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Arterial Base Excess t0: [22:00:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:00:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:00:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 40 n1: 40 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:00:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 112 n1: 112 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:00:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd
id: Hematocrit t0: [22:00:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 u1: % rs: Final st: NotStopd id: SaO2 t0: [22:00:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: CaO2 t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 13.4792 n1: 13.4792 u1: ml/dl st: NotStopd id: Cardiac Index t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 3.75 n1: 3.75 u1: ... st: NotStopd id: DO2I t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 487.5 n1: 487.5 u1: ml/m/m st: NotStopd id: SVR t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 579.71 n1: 579.71 u1: ... st: NotStopd id: SVRI t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1066.67 n1: 1066.67 u1: ... st: NotStopd id: Hemoglobin t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 rs: Manual st: NotStopd id: C.O. (fick) t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 6.86567 n1: 6.86567 u1: L/min st: NotStopd
pi: 4375798 hi: 19952 t0: [00:00:00 30/12/2018] tf: [23:00:00 30/12/2018] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 29.4118 n1: 29.4118 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 1:2.8 st: NotStopd id: Airway Size t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 5.5 n1: 5.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 7.8 n1: 7.8 u1: L/min st: NotStopd id: PEEP Set t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 1.4 n1: 1.4 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Total PEEP Level t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: 6.4 n1: 6.4 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [23:00:00 29/12/2018] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: IABP setting t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP S/D t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Respiratory Rate t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: Systolic Unloading t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Arterial BP #2 t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: calprevflg t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [23:00:00 29/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 6.3 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [23:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 13.125 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [23:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 29/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [23:00:00 29/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [23:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 75 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 29/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [23:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [23:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU pv: 65.425 cv: 2083.7 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU pv: 85.425 cv: 2818.7 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU pv: 75 cv: 75 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU pv: 20 cv: 170 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU pv: 75 cv: 4035 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU pv: 10.425 cv: -1266.3 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU pv: 10.425 cv: 7155.2 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU pv: 10.425 cv: 10.425 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU pv: 75 cv: 4085 ac: 24 ap: none re: 0
id: Argatroban t0: [23:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.75 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dopamine t0: [23:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: 2 mm st: NotStopd id: Edema Location/Amt#2 t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: GU Catheter Size t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Heart Rate t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: IABP setting t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Abdominal Assessment t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: LL Strength/Movement t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LLL Lung Sounds t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUE Temp/Color t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Angio Dressing #2 t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg st: NotStopd id: PAP S/D t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RLL Lung Sounds t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Reason For Restraint t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: BAEDP t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Side Rails t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Arterial BP #2 t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Temp. Site t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [00:00:00 30/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.35 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [00:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10.5 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [00:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [00:00:00 30/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [00:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [00:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.75 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [00:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [00:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [00:00:00 30/12/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: Urine Out Foley t0: [00:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Fingerstick Glucose t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 186 n1: 186 rs: Manual st: NotStopd
pi: 4375875 hi: 19952 t0: [10:00:00 30/12/2018] tf: [15:00:00 09/01/2019] mn: Albuterol pt: Unit Dose st: Discontinued rt: IH fr: Q4H ds: 10, 14, 18, 22, 2, 6 dn: 6 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: HOB t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: IABP setting t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Activity t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: PAP Mean t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: PAP S/D t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Position t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Respiratory Rate t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: BAEDP t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: SpO2 t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: % st: NotStopd id: Arterial BP #2 t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Therapeutic Bed t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: calprevflg t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [01:00:00 30/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.35 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [01:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10.5 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [01:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [01:00:00 30/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [01:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 500 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [01:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [01:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.75 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [01:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [01:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: 2 mm st: NotStopd id: Edema Location/Amt#2 t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Health Care Proxy t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Heart Rate t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: IABP setting t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #3 t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: PAP Mean t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP S/D t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: PressSoreTreatment#1 t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: INV#2 Dsg Change t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 30 n2: 30 st: NotStopd id: INV#3 Dsg Change t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: INV#4 Dsg Change t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: Pressure Sore Site#1 t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Reason For Restraint t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: Side Rails t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Arterial BP #2 t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#2 Tubing Change t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#3 Tubing Change t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV#4 Tubing Change t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: Temperature C (calc) t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [02:00:00 30/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.35 vu: ml id: TF Residual t0: [02:00:00 30/12/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [02:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10.5 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [02:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [02:00:00 30/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [02:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 300 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [02:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [02:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.75 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [02:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [02:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough Reflex t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Eye Opening t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: GU Catheter Size t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Heart Rate t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: IABP setting t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Abdominal Assessment t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LU Strength/Movement t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUE Temp/Color t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Angio Dressing #2 t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg st: NotStopd id: PAP S/D t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RU Strength/Movement t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Augmented Diastole t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Respiratory Pattern t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Responds to Stimuli t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: BAEDP t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: SpO2 t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Systolic Unloading t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: % st: NotStopd id: Arterial BP #2 t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Urine Color/Appear t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [03:00:00 30/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.35 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [03:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10.5 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [03:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [03:00:00 30/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [03:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [03:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [03:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.75 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [03:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [03:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: Hemodyn Instabil st: NotStopd id: ETT Mark/Location t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 1:2.8 st: NotStopd id: Airway Size t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 5.5 n1: 5.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 8 n1: 8 u1: L/min st: NotStopd id: PEEP Set t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 1 n1: 1 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 510 n1: 510 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Total PEEP Level t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:10:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Daily Wake Up t0: [04:00:00 30/12/2018] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: Risk for Falls t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: 2 mm st: NotStopd id: Edema Location/Amt#2 t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Health Care Proxy t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: HOB t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: IABP setting t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Activity t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Oral Care t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PAP Mean t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP S/D t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Reason For Restraint t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Side Rails t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Arterial BP #2 t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Therapeutic Bed t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: calprevflg t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [04:00:00 30/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.35 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [04:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10.5 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [04:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [04:00:00 30/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [04:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [04:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [04:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.75 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [04:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Dopamine t0: [04:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temp. Site t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd
pi: 4376077 hi: 19952 t0: [06:00:00 30/12/2018] tf: [05:00:00 31/12/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: NG fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Art.pH t0: [05:10:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.48 n1: 7.48 rs: Final st: NotStopd id: Potassium t0: [05:10:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:10:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:10:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:10:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:10:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 153 n1: 153 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:10:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.48 n1: 7.48 rs: Final st: NotStopd id: Hematocrit t0: [05:10:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 u1: % rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:10:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: SaO2 t0: [05:10:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 u1: % rs: Final st: NotStopd
id: Service Type t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Type t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: IABP setting t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: PAP S/D t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: PCWP t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Respiratory Rate t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: BAEDP t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: SpO2 t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Arterial BP #2 t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: calprevflg t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [05:00:00 30/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.35 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [05:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 7.875 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [05:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [05:00:00 30/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [05:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [05:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [05:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.75 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [05:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [05:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: FiO2 Set t0: [05:25:00 30/12/2018] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd
id: Mixed Venous O2% Sat t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 rs: Manual st: NotStopd
id: WBC (4-11,000) t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 10.7 n1: 10.7 rs: Final st: NotStopd id: CaO2 t0: [05:10:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 12.8117 n1: 12.8117 u1: ml/dl st: NotStopd id: Cardiac Index t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.8587 n1: 3.8587 u1: ... st: NotStopd id: DO2I t0: [05:10:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 501.8 n1: 501.8 u1: ml/m/m st: NotStopd id: WBC t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 10.7 n1: 10.7 rs: Final st: NotStopd id: PVRI t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 248.705 n1: 248.705 u1: ... st: NotStopd id: SVR t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 597.183 n1: 597.183 u1: ... st: NotStopd id: SVRI t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 1098.45 n1: 1098.45 u1: ... st: NotStopd id: Hematocrit t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 26.1 n1: 26.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 9.3 n1: 9.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 59 n1: 59 rs: Final st: NotStopd id: RBC t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.03 n1: 3.03 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 10.7 n1: 10.7 rs: Final st: NotStopd id: C.O. (fick) t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.0985 n1: 7.0985 u1: L/min st: NotStopd
id: Cough Reflex t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Diet Type t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 29 n2: 29 st: NotStopd id: GU Catheter Size t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: LL Strength/Movement t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pupil Response R/L t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: Respiratory Pattern t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Spontaneous Movement t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Temp. Site t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Urine Source t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [06:00:00 30/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 7.35 vu: ml id: TF Residual t0: [05:00:00 30/12/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [06:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 7.875 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [06:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [06:00:00 30/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
pi: 4376149 hi: 19952 t0: [07:00:00 30/12/2018] tf: [19:00:00 08/01/2019] mn: Nystatin Oral Suspension pt: Unit Dose st: Discontinued rt: PO fr: QID:PRN di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: 2 mm st: NotStopd id: Edema Location/Amt#2 t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Health Care Proxy t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Family Communication t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GI#1 Tube Stat/Drain t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GI#1 Tube Stat/Drain t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: HOB t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: IABP setting t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Abdominal Assessment t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: KneeImmobilizer/Loc t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: KneeImmobilizer/Loc t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: LLE Temp/Color t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUE Temp/Color t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Angio Appearance #1 t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Other/Remarks st: NotStopd id: Angio Appearance #2 t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Angio Dressing #2 t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: PAP Mean t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: PAP S/D t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Pressure Sore Site#1 t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUE Temp/Color t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Augmented Diastole t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Reason For Restraint t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: Side Rails t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: Arterial BP #2 t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Therapeutic Bed t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: calprevflg t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: Fentanyl t0: [06:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [06:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.75 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [06:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [06:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PT t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 20.9 n1: 20.9 rs: Final st: NotStopd id: INR t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: PTT t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 63.6 n1: 63.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 20.9 n1: 20.9 rs: Final st: NotStopd id: PTT(22-35) t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 63.6 n1: 63.6 rs: Final st: NotStopd
id: BUN t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Chloride t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 rs: Final st: NotStopd id: Creatinine t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 118 n1: 118 rs: Final st: NotStopd id: Magnesium t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 134 n1: 134 rs: Final st: NotStopd id: BUN (6-20) t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Carbon Dioxide t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 118 n1: 118 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 134 n1: 134 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 26.3158 n1: 26.3158 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 1:2.8 st: NotStopd id: Airway Size t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 5.5 n1: 5.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 7.4 n1: 7.4 u1: L/min st: NotStopd id: PEEP Set t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 2600 n1: 2600 st: NotStopd id: Tank B psi. t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Ve High t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 485 n1: 485 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [07:30:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
pi: 4376358 hi: 19952 t0: [10:00:00 30/12/2018] tf: [09:00:00 31/12/2018] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Blood Products t0: [09:05:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: Y rs: Final st: NotStopd
id: Mixed Venous O2 t0: [09:57:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd
pi: 4376607 hi: 19952 t0: [11:00:00 30/12/2018] tf: [10:00:00 31/12/2018] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Art.pH t0: [10:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: CaO2 t0: [10:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 12.6127 n1: 12.6127 u1: ml/dl st: NotStopd id: Glucose t0: [10:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 122 n1: 122 rs: Final st: NotStopd id: Arterial Base Excess t0: [10:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [10:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [10:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 40 n1: 40 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [10:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 129 n1: 129 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [10:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Glucose (70-105) t0: [10:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 122 n1: 122 rs: Final st: NotStopd id: SaO2 t0: [10:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Service Type t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: IABP Mean t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: IABP Mean t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: IABP setting t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: IABP setting t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: IABP setting t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: PAP Mean t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: PAP Mean t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: PAP Mean t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg st: NotStopd id: PAP Mean t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP Mean t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP S/D t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: PAP S/D t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: PAP S/D t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: PAP S/D t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: PAP S/D t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: PCWP t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Assisted Systole t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Assisted Systole t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Previous Weight t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: Previous Weight t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: Previous WeightF t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: Previous WeightF t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg st: NotStopd id: Augmented Diastole t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Augmented Diastole t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg st: NotStopd id: Respiratory Rate t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: BAEDP t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: BAEDP t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: SpO2 t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Systolic Unloading t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: % st: NotStopd id: Arterial BP #2 t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Temp. Site t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: BSA - English t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1.26533 n1: 1.26533 u1: m2 st: NotStopd id: BSA - Metric t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1.47703 n1: 1.47703 u1: m2 st: NotStopd id: Weight Change t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: calprevflg t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Daily Weight t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd
id: Fentanyl t0: [07:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [07:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.75 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Argatroban t0: [08:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.75 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Argatroban t0: [09:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.75 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Argatroban t0: [10:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.75 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Argatroban t0: [11:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.75 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [07:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [08:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [09:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [10:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [11:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [07:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Mixed Venous O2% Sat t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 rs: Manual st: NotStopd id: C.O. (fick) t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5.42827 n1: 5.42827 u1: L/min st: NotStopd
id: Cardiac Index t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 2.93478 n1: 2.93478 u1: ... st: NotStopd id: DO2 t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 702 n1: 702 u1: ml/min st: NotStopd id: DO2I t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 380.9 n1: 380.9 u1: ml/m/m st: NotStopd id: zzO2AV t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 702 n1: 702 u1: ml/min st: NotStopd id: zzO2AVI t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 381.522 n1: 381.522 u1: ml/m/m st: NotStopd id: LCW t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5.28768 n1: 5.28768 u1: kg x m st: NotStopd id: LCWI t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 2.88043 n1: 2.88043 u1: ... st: NotStopd id: LVSW t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 55.8144 n1: 55.8144 u1: g * m st: NotStopd id: LVSWI t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 30.4348 n1: 30.4348 u1: g*m/m2 st: NotStopd id: O2AV t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 702 n1: 702 u1: ml/min st: NotStopd id: O2AVI t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 381.522 n1: 381.522 u1: ml/m/m st: NotStopd id: PVR t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 133.333 n1: 133.333 u1: ... st: NotStopd id: PVRI t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 245.734 n1: 245.734 u1: ... st: NotStopd id: RCW t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 2.86416 n1: 2.86416 u1: kg * m st: NotStopd id: RCWI t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1.55435 n1: 1.55435 u1: ... st: NotStopd id: RVSW t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 30.2328 n1: 30.2328 u1: g * m st: NotStopd id: RVSWI t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16.413 n1: 16.413 u1: g*m/m2 st: NotStopd id: SVI t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 30.9783 n1: 30.9783 u1: ... st: NotStopd id: SVR t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 903.704 n1: 903.704 u1: ... st: NotStopd id: SVRI t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1665.53 n1: 1665.53 u1: ... st: NotStopd id: Stroke Volume t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 56.8421 n1: 56.8421 u1: ml st: NotStopd id: Swan SVO2 t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: % st: NotStopd id: C.O.(thermodilution) t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5.4 n1: 5.4 u1: L/min st: NotStopd
id: Insulin Guideline t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [08:00:00 30/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 14.7 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [10:00:00 30/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 14.7 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [08:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 15.8 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [08:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 42 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [10:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 42 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Promote w/fiber t0: [08:00:00 30/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 60 vu: ml id: Promote w/fiber t0: [10:00:00 30/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [06:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [08:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 110 vu: ml id: Urine Out Foley t0: [10:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Midazolam t0: [11:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [08:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [09:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [10:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [11:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [12:25:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:25:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:25:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:25:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [12:25:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:25:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:25:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:25:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [12:25:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:25:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:25:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:25:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume (Set) t0: [12:25:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 u1: L/min st: NotStopd id: Minute Volume(Obser) t0: [12:25:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 8.1 n1: 8.1 u1: L/min st: NotStopd id: PEEP Set t0: [12:25:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:25:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 st: NotStopd id: Pressure Support t0: [12:25:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:25:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Ve High t0: [12:25:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [12:25:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:25:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [12:25:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 521 n1: 521 u1: ml/B st: NotStopd id: Ventilator Type t0: [12:25:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Sputum Color/Consist t0: [12:50:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:50:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd
pi: 4377355 hi: 19952 t0: [17:00:00 30/12/2018] tf: [16:00:00 31/12/2018] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Art.pH t0: [16:13:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:13:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:13:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:13:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:13:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 113 n1: 113 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:13:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Hematocrit t0: [16:13:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 u1: % rs: Final st: NotStopd id: SaO2 t0: [16:13:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Mixed Venous O2 t0: [16:16:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd
id: ETT Mark/Location t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume (Set) t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 u1: L/min st: NotStopd id: Minute Volume(Obser) t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 8.8 n1: 8.8 u1: L/min st: NotStopd id: PEEP Set t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 st: NotStopd id: Pressure Support t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Ve High t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 637 n1: 637 u1: ml/B st: NotStopd id: Ventilator Type t0: [16:15:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
pi: 4377428 hi: 19952 t0: [18:00:00 30/12/2018] tf: [17:00:00 31/12/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4377429 hi: 19952 t0: [18:00:00 30/12/2018] tf: [17:00:00 31/12/2018] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: BUN t0: [16:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Chloride t0: [16:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 rs: Final st: NotStopd id: Creatinine t0: [16:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [16:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 158 n1: 158 rs: Final st: NotStopd id: Magnesium t0: [16:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Potassium t0: [16:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [16:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 132 n1: 132 rs: Final st: NotStopd id: BUN (6-20) t0: [16:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Carbon Dioxide t0: [16:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [16:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [16:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [16:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 158 n1: 158 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [16:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [16:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 132 n1: 132 rs: Final st: NotStopd
id: PTT t0: [16:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 55.3 n1: 55.3 rs: Final st: NotStopd id: PTT(22-35) t0: [16:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 55.3 n1: 55.3 rs: Final st: NotStopd
id: Service Type t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: mmHg st: NotStopd id: CaO2 t0: [16:13:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12.1785 n1: 12.1785 u1: ml/dl st: NotStopd id: Cardiac Index t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 3.42391 n1: 3.42391 u1: ... st: NotStopd id: Code Status t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: DO2 t0: [16:13:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 756 n1: 756 u1: ml/min st: NotStopd id: DO2I t0: [16:13:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 410.4 n1: 410.4 u1: ml/m/m st: NotStopd id: zzO2AV t0: [16:13:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 756 n1: 756 u1: ml/min st: NotStopd id: zzO2AVI t0: [16:13:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 410.87 n1: 410.87 u1: ml/m/m st: NotStopd id: Risk for Falls t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Alarms t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: IABP setting t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: O2AV t0: [16:13:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 756 n1: 756 u1: ml/min st: NotStopd id: O2AVI t0: [16:13:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 410.87 n1: 410.87 u1: ml/m/m st: NotStopd id: PAP Mean t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: PAP Mean t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: PAP Mean t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: PAP S/D t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: PAP S/D t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: PAP S/D t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: PCWP t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: PVR t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 292.063 n1: 292.063 u1: ... st: NotStopd id: PVRI t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 538.012 n1: 538.012 u1: ... st: NotStopd id: Arterial BP t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Previous Weight t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: Previous Weight t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: Previous Weight t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: Previous WeightF t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: Previous WeightF t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: Previous WeightF t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RCW t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 4.36968 n1: 4.36968 u1: kg * m st: NotStopd id: RCWI t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 2.375 n1: 2.375 u1: ... st: NotStopd id: RVSW t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 47.1648 n1: 47.1648 u1: g * m st: NotStopd id: RVSWI t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 25.6522 n1: 25.6522 u1: g*m/m2 st: NotStopd id: Respiratory Rate t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SVI t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 36.9565 n1: 36.9565 u1: ... st: NotStopd id: SpO2 t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Stroke Volume t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 68.4783 n1: 68.4783 u1: ml st: NotStopd id: Arterial BP #2 t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: calprevflg t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Hemoglobin t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 9.1 n1: 9.1 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 rs: Manual st: NotStopd id: C.O. (fick) t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 6.28725 n1: 6.28725 u1: L/min st: NotStopd id: C.O.(thermodilution) t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 6.3 n1: 6.3 u1: L/min st: NotStopd
id: Fentanyl t0: [13:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [15:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [17:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [13:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.75 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Argatroban t0: [14:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.75 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Argatroban t0: [15:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.75 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Argatroban t0: [16:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.75 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Argatroban t0: [17:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.75 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [13:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [14:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [15:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [16:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [17:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [13:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [14:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [15:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [16:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [17:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: Ectopy Frequency t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: IABP setting t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: PAP S/D t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Respiratory Rate t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: BAEDP t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: SpO2 t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Swan SVO2 t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: % st: NotStopd id: Systolic Unloading t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: % st: NotStopd id: Arterial BP #2 t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Temp. Site t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temp. Site t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temp. Site t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Temperature F t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Temperature F t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: calprevflg t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [12:00:00 30/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 14.7 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [14:00:00 30/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 14.7 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [16:00:00 30/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 14.7 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [18:00:00 30/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 14.7 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [12:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [14:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [16:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [18:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [12:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 42 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [14:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 42 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [16:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 42 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [18:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 42 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Promote w/fiber t0: [12:00:00 30/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 60 vu: ml id: Promote w/fiber t0: [14:00:00 30/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Midazolam t0: [18:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [18:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [18:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: CVP t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU u1: mmHg st: NotStopd id: CVP t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU u1: mmHg st: NotStopd id: CVP t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: PAP Mean t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU u1: mmHg st: NotStopd id: PAP Mean t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU u1: mmHg st: NotStopd id: PAP S/D t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU u1: mmHg u2: mmHg st: NotStopd id: PAP S/D t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU u1: mmHg u2: mmHg st: NotStopd
id: Riker-SAS Scale t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Insulin Guideline t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Fentanyl t0: [18:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Argatroban t0: [18:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Diastolic Unloading t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: IABP Mean t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: IABP Mean t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: IABP Mean t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: LCW t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 6.76872 n1: 6.76872 u1: kg x m st: NotStopd id: LCWI t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 3.69565 n1: 3.69565 u1: ... st: NotStopd id: LVSW t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 73.0592 n1: 73.0592 u1: g * m st: NotStopd id: LVSWI t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 39.6739 n1: 39.6739 u1: g*m/m2 st: NotStopd id: Arterial BP t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Assisted Systole t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Assisted Systole t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Assisted Systole t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Augmented Diastole t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Augmented Diastole t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Augmented Diastole t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: SVR t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 761.905 n1: 761.905 u1: ... st: NotStopd id: SVRI t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1403.51 n1: 1403.51 u1: ... st: NotStopd id: BAEDP t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: BAEDP t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: BAEDP t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: Systolic Unloading t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Systolic Unloading t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Systolic Unloading t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: % st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [19:00:00 30/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.4 vu: ml id: TF Residual t0: [09:00:00 30/12/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 0 vu: ml id: TF Residual t0: [14:00:00 30/12/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [09:00:00 30/12/2018] el: 1 ai: 111 cg: RN cu: CCU vo: 30 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [19:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: Free Water Bolus t0: [09:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Promote w/fiber t0: [16:00:00 30/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 80 vu: ml id: Promote w/fiber t0: [18:00:00 30/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 80 vu: ml id: Promote w/fiber t0: [19:00:00 30/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [12:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 500 vu: ml id: Urine Out Foley t0: [13:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 240 vu: ml id: Urine Out Foley t0: [14:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 180 vu: ml id: Urine Out Foley t0: [15:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 140 vu: ml id: Urine Out Foley t0: [17:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 550 vu: ml id: Urine Out Foley t0: [19:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 190 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: IV #3 Reason DC'D t0: [19:00:00 30/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #3 Insert Date t0: [19:00:00 30/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: ABI (L) t0: [19:00:00 30/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #3 Site/Size t0: [19:00:00 30/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #3 t0: [19:00:00 30/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: ImpSkin Treatment #1 t0: [19:00:00 30/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: ABI (R) t0: [19:00:00 30/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: AntiEmbDevice/Status t0: [19:00:00 30/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: ABI Ankle BP R/L t0: [19:00:00 30/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: ABI Brachial BP R/L t0: [19:00:00 30/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd
id: D5W 100.0ml t0: [09:00:00 30/12/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [10:00:00 30/12/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [12:00:00 30/12/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W 100.0ml t0: [18:00:00 30/12/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [19:00:00 30/12/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: Packed RBC's t0: [12:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 375 vu: ml uu: Units id: Gastric Meds t0: [14:00:00 30/12/2018] el: 1 ai: 111 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [16:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [18:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 280 vu: ml
id: PO/Gastric In Total t0: [23:00:00 30/12/2018] el: 2 cg: RN cu: CCU cv: 110 ac: 24 ap: none re: 0 id: Blood Products Total t0: [23:00:00 30/12/2018] el: 2 cg: RN cu: CCU cv: 375 ac: 24 ap: none re: 0
id: Riker-SAS Scale t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rhythm t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Procedures t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: EKG st: NotStopd id: Radiologic Study t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Chest Xray st: NotStopd id: Insulin Guideline t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Capillary Refill R/L t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Corneal Reflex R/L t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Intact v2: Intact st: NotStopd id: Cough Reflex t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Guaiac/ph t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: GI Intub #1/Site t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Feeding v2: Bilious st: NotStopd id: GU Catheter Size t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Height of Bed t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LUE Temp/Color t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Pupil Response R/L t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: RLE Temp/Color t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Spontaneous Movement t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Cough Reflex t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Dorsal PedPulse R/L t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Eye Opening t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GU Cath Insert Date t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Gag Reflex t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Level of Conscious t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Responds to Stimuli t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Spontaneous Movement t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Verbal Response t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: Capillary Refill R/L t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: GI Prophylaxis t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Abdominal Assessment t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LLE Temp/Color t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Angio Appearance #1 t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Oral Cavity t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Angio Site #1 t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: RLE Temp/Color t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Insp Wheeze st: NotStopd id: Respiratory Pattern t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Color/Appear t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Bowel Sounds t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Capillary Refill R/L t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Cough Reflex t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Height of Bed t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LUE Temp/Color t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RL Strength/Movement t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: RLE Temp/Color t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUE Temp/Color t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Spontaneous Movement t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Less Restrict Meas. t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Range of Motion t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Swelling st: NotStopd id: Circulation/SkinInt t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd id: Edema Location/Amt#2 t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Family Communication t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Fam Talked to RN st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Position Change t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PresSoreStage/Heal#1 t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Red, Unbroken v2: No st: NotStopd id: PressSore Wth/Lth #1 t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 4 cm v2: 4 cm st: NotStopd id: PressSoreTreatment#1 t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: PressSoreWoundBase#1 t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Purple st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Reason For Restraint t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Diaphoretic st: NotStopd id: Support Systems t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Behavior t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Less Restrict Meas. t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Less Restrict Meas. t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Eye Care t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Care t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [13:30:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [13:30:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Activity Tolerance t0: [13:30:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Activity Tolerance t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: KneeImmobilizer/Loc t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Off v2: Left Knee st: NotStopd id: KneeImmobilizer/Loc t0: [13:30:00 30/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: KneeImmobilizer/Loc t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: Oral Care t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [13:30:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [13:30:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [13:30:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [13:30:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: PressureReduceDevice t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ROM t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Active v2: Both Arms st: NotStopd id: ROM t0: [13:30:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Active v2: Both Arms st: NotStopd id: ROM t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Active v2: Both Arms st: NotStopd id: Reason For Restraint t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [13:30:00 30/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [13:30:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: HOB Measurement t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: Back Care t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [13:30:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [18:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: IV #3 Reason DC'D t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Routine Change st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1 Type/Site t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1InsertDate t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2 Type/Site t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2InsertDate t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3 Type/Site t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#3InsertDate t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#4 Type/Site t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Type/Site t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4InsertDate t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: LU Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #3 t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Redness st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#1 Dsg Change t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#1 Tubing Change t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#3 Tubing Change t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Tubing Change t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Tubing Change t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd
id: ETT Mark/Location t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume (Set) t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 u1: L/min st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 st: NotStopd id: Pressure Support t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 2500 n1: 2500 st: NotStopd id: Tank B psi. t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Ve High t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: 494 n1: 494 u1: ml/B st: NotStopd id: Ventilator Type t0: [20:00:00 30/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Pain Present t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Daily Wake Up t0: [11:00:00 30/12/2018] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Cause t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Management t0: [11:00:00 30/12/2018] el: 1 cg: RN cu: CCU v1: IV Gtt v2: Repositioned st: NotStopd id: Sputum Color/Consist t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Color/Consist t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd
pi: 4377739 hi: 19952 t0: [22:00:00 30/12/2018] tf: [21:00:00 31/12/2018] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Art.pH t0: [21:44:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: CaO2 t0: [21:44:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 11.885 n1: 11.885 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [21:44:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [21:44:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Arterial PaCO2 t0: [21:44:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [21:44:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [21:44:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Ionized Calcium t0: [21:44:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.16 n1: 1.16 rs: Final st: NotStopd id: SaO2 t0: [21:44:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 95 n1: 95 u1: % rs: Final st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Capillary Refill R/L t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Circulation/SkinInt t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Diet Type t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Health Care Proxy t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Response t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: IABP setting t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: KneeImmobilizer/Loc t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: LL Strength/Movement t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LU Strength/Movement t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LUE Temp/Color t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: PAP Mean t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: PAP S/D t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: PAP S/D t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: PCWP t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: PressureReduceDevice t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: Previous WeightF t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: RLE Temp/Color t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RU Strength/Movement t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUE Temp/Color t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Reason For Restraint t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Responds to Stimuli t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: BAEDP t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Side Rails t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Systolic Unloading t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Arterial BP #2 t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#3 Tubing Change t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Tubing Change t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Temp. Site t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [19:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [20:00:00 30/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.4 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [21:00:00 30/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.4 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [22:00:00 30/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.4 vu: ml id: TF Residual t0: [21:00:00 30/12/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [20:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [21:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [22:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Promote w/fiber t0: [20:00:00 30/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 40 vu: ml id: Promote w/fiber t0: [21:00:00 30/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 40 vu: ml id: Promote w/fiber t0: [22:00:00 30/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [20:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: Urine Out Foley t0: [21:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [22:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 220 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [19:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [19:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Argatroban t0: [20:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [19:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [20:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: IABP setting t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: PAP S/D t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Respiratory Rate t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: BAEDP t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Systolic Unloading t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Arterial BP #2 t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Temperature C (calc) t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: calprevflg t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [21:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [21:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [21:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Ectopy Frequency t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: IABP setting t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: PAP S/D t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Respiratory Rate t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: BAEDP t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: SpO2 t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Systolic Unloading t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: % st: NotStopd id: Arterial BP #2 t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Temperature C (calc) t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: calprevflg t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [22:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [22:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [22:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Hematocrit t0: [21:33:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 29.7 n1: 29.7 u1: % rs: Final st: NotStopd
id: Cardiac Index t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 3.42391 n1: 3.42391 u1: ... st: NotStopd id: DO2I t0: [21:44:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 410.4 n1: 410.4 u1: ml/m/m st: NotStopd id: PCWP t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PVRI t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 467.836 n1: 467.836 u1: ... st: NotStopd id: SVR t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 812.698 n1: 812.698 u1: ... st: NotStopd id: SVRI t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1497.08 n1: 1497.08 u1: ... st: NotStopd id: Swan SVO2 t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: % st: NotStopd id: Mixed Venous O2% Sat t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 rs: Manual st: NotStopd id: C.O. (fick) t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 6.28725 n1: 6.28725 u1: L/min st: NotStopd
id: BUN t0: [21:33:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 17 n1: 17 rs: Final st: NotStopd id: Chloride t0: [21:33:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine t0: [21:33:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [21:33:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 120 n1: 120 rs: Final st: NotStopd id: Potassium t0: [21:33:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 4.7 n1: 4.7 rs: Final st: NotStopd id: Sodium t0: [21:33:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd id: BUN (6-20) t0: [21:33:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 17 n1: 17 rs: Final st: NotStopd id: Carbon Dioxide t0: [21:33:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [21:33:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [21:33:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [21:33:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 120 n1: 120 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [21:33:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 4.7 n1: 4.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [21:33:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd
id: CVP t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Diastolic Unloading t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Dorsal PedPulse R/L t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Type t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: IABP setting t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Angio Appearance #1 t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Dressing #2 t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Site #1 t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: PAP S/D t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 30/12/2018] 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: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable st: NotStopd id: Assisted Systole t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Previous WeightF t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: Augmented Diastole t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Respiratory Rate t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: BAEDP t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: SpO2 t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Arterial BP #2 t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: calprevflg t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [23:00:00 30/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.4 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [23:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 30/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Promote w/fiber t0: [23:00:00 30/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [23:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 380 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 30/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: IV Infusion In Total t0: [23:00:00 30/12/2018] el: 2 cg: RN cu: CCU pv: 49.4 cv: 1977.2 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 30/12/2018] el: 2 cg: RN cu: CCU pv: 99.4 cv: 3282.2 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 30/12/2018] el: 2 cg: RN cu: CCU pv: 380 cv: 380 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 30/12/2018] el: 2 cg: RN cu: CCU pv: 50 cv: 820 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 30/12/2018] el: 2 cg: RN cu: CCU pv: 380 cv: 4490 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 30/12/2018] el: 2 cg: RN cu: CCU pv: -280.6 cv: -1207.8 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 30/12/2018] el: 2 cg: RN cu: CCU pv: -280.6 cv: 5947.4 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 30/12/2018] el: 2 cg: RN cu: CCU pv: -280.6 cv: -280.6 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 30/12/2018] el: 2 cg: RN cu: CCU pv: 380 cv: 4490 ac: 24 ap: none re: 0
id: Service Type t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: IABP setting t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Level of Conscious t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: PAP Mean t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: PAP S/D t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 31/12/2018] 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 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg st: NotStopd id: Respiratory Rate t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: SpO2 t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Systolic Unloading t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Arterial BP #2 t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Temp. Site t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [00:00:00 31/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.4 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [00:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [00:00:00 31/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [00:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 800 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Fentanyl t0: [00:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [23:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [00:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [23:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PTT t0: [23:38:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 54.2 n1: 54.2 rs: Final st: NotStopd id: PTT(22-35) t0: [23:38:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 54.2 n1: 54.2 rs: Final st: NotStopd
id: ETT Mark/Location t0: [00:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume (Set) t0: [00:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 u1: L/min st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 7.8 n1: 7.8 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 st: NotStopd id: Pressure Support t0: [00:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 510 n1: 510 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: Other/Remarks st: NotStopd id: Ventilator Type t0: [00:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Capillary Refill R/L t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Circulation/SkinInt t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Diastolic Unloading t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Diet Type t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Edema Location/Amt#1 t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd id: Edema Location/Amt#2 t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Family Communication t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: Follows Commands t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: HOB t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: IABP Mean t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: IABP setting t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Abdominal Assessment t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Impaired Skin Site#1 t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: KneeImmobilizer/Loc t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: KneeImmobilizer/Loc t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: LL Strength/Movement t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: LU Strength/Movement t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LUE Temp/Color t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Angio Appearance #1 t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #2 t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: PAP Mean t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: PAP S/D t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: PAP S/D t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PCWP t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Assisted Systole t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: PressSoreTreatment#1 t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: Pressure Sore Site#1 t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: PressureReduceDevice t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: Previous WeightF t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: RLE Temp/Color t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: RU Strength/Movement t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUE Temp/Color t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg st: NotStopd id: Augmented Diastole t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Radial Pulse R/L t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Radial Pulse R/L t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Reason For Restraint t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: BAEDP t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: BAEDP t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: Side Rails t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Color t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Diaphoretic st: NotStopd id: SpO2 t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Systolic Unloading t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Arterial BP #2 t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Therapeutic Bed t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: calprevflg t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 155 n1: 155 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [01:00:00 31/12/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [01:00:00 31/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 14.7 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [02:00:00 31/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 14.7 vu: ml id: TF Residual t0: [01:00:00 31/12/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [01:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [02:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [01:00:00 31/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 60 vu: ml id: Promote w/fiber t0: [02:00:00 31/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [01:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 160 vu: ml id: Urine Out Foley t0: [02:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [01:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [00:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Argatroban t0: [01:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Argatroban t0: [02:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [01:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [02:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: IABP setting t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: PAP S/D t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Respiratory Rate t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: SpO2 t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Systolic Unloading t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Arterial BP #2 t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Temp. Site t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: calprevflg t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [03:00:00 31/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.4 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [03:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [03:00:00 31/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [03:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Fentanyl t0: [03:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [03:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [03:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4378204 hi: 19952 t0: [10:00:00 31/12/2018] tf: [21:00:00 01/01/2019] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [04:52:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:52:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:52:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:52:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:52:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 67 n1: 67 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:52:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: SaO2 t0: [04:52:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 92 n1: 92 u1: % rs: Final st: NotStopd
id: RSBI (<100) t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 49.8812 n1: 49.8812 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume (Set) t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 u1: L/min st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 7.6 n1: 7.6 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 49.8812 n1: 49.8812 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 0.421 n1: 0.421 u1: L st: NotStopd id: Sputum Color/Consist t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 588 n1: 588 u1: ml/B st: NotStopd id: Ventilator Type t0: [04:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: FiO2 Set t0: [05:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd
id: WBC (4-11,000) t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 11.1 n1: 11.1 rs: Final st: NotStopd id: CaO2 t0: [04:52:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 13.0288 n1: 13.0288 u1: ml/dl st: NotStopd id: WBC t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 11.1 n1: 11.1 rs: Final st: NotStopd id: Hematocrit t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 29.5 n1: 29.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 10.4 n1: 10.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 72 n1: 72 rs: Final st: NotStopd id: RBC t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.41 n1: 3.41 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 11.1 n1: 11.1 rs: Final st: NotStopd
id: Service Type t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Ectopy Frequency t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: IABP Mean t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: IABP setting t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: PAP Mean t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: PAP S/D t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: PAP S/D t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Assisted Systole t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: Previous WeightF t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Augmented Diastole t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Respiratory Rate t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: BAEDP t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: BAEDP t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Systolic Unloading t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: % st: NotStopd id: Systolic Unloading t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Arterial BP #2 t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Temp. Site t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: calprevflg t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [04:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [05:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [04:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Argatroban t0: [05:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [04:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [05:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [04:00:00 31/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.4 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [05:00:00 31/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.4 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [04:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [05:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [04:00:00 31/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 60 vu: ml id: Promote w/fiber t0: [05:00:00 31/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [04:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [05:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Alarms t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Cardiac Index t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 2.71739 n1: 2.71739 u1: ... st: NotStopd id: DO2I t0: [04:52:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 353.6 n1: 353.6 u1: ml/m/m st: NotStopd id: SVR t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 976 n1: 976 u1: ... st: NotStopd id: SVRI t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1794.12 n1: 1794.12 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 59 n1: 59 rs: Manual st: NotStopd id: C.O. (fick) t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 5.00122 n1: 5.00122 u1: L/min st: NotStopd
id: BUN t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 17 n1: 17 rs: Final st: NotStopd id: Chloride t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 rs: Final st: NotStopd id: Creatinine t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 132 n1: 132 rs: Final st: NotStopd id: Magnesium t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Potassium t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 133 n1: 133 rs: Final st: NotStopd id: BUN (6-20) t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 17 n1: 17 rs: Final st: NotStopd id: Carbon Dioxide t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 132 n1: 132 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 133 n1: 133 rs: Final st: NotStopd
id: PT t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 21.3 n1: 21.3 rs: Final st: NotStopd id: INR t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: PTT t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 54.5 n1: 54.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 21.3 n1: 21.3 rs: Final st: NotStopd id: PTT(22-35) t0: [04:31:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 54.5 n1: 54.5 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: mmHg st: NotStopd id: CVP t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Capillary Refill R/L t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Circulation/SkinInt t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Cough Reflex t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Diet Type t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v2: Easily Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v2: Easily Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v2: Easily Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Edema Location/Amt#1 t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd id: Edema Location/Amt#2 t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: HOB t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rate t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: IABP Mean t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: IABP setting t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1InsertDate t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bleeding st: NotStopd id: INV Line#3 Type/Site t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#4 Type/Site t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: Impaired Skin Site#1 t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: KneeImmobilizer/Loc t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: KneeImmobilizer/Loc t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: LL Strength/Movement t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: LLE Temp/Color t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LUE Temp/Color t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #2 t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: PAP Mean t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: PAP S/D t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: PAP S/D t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: PCWP t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Assisted Systole t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: PressSoreTreatment#1 t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Pressure Sore Site#1 t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: PressureReduceDevice t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: Previous WeightF t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: RLE Temp/Color t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUE Temp/Color t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg st: NotStopd id: Augmented Diastole t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Radial Pulse R/L t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Reason For Restraint t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: BAEDP t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: BAEDP t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Side Rails t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Color t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Systolic Unloading t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Systolic Unloading t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: % st: NotStopd id: Arterial BP #2 t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Tubing Change t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Therapeutic Bed t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Red v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [06:00:00 31/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.4 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [07:00:00 31/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.4 vu: ml id: TF Residual t0: [05:00:00 31/12/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [06:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [07:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [06:00:00 31/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 60 vu: ml id: Promote w/fiber t0: [07:00:00 31/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [06:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [07:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Fentanyl t0: [06:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [07:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [06:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Argatroban t0: [07:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [06:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [07:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [06:58:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [06:58:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:58:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:58:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:58:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:58:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd
id: BSA t0: [07:36:00 31/12/2018] el: 1033 cg: -1 cu: CCU v1: 1.83525 n1: 1.83525 u1: m2 id: Admit Wt t0: [07:36:00 31/12/2018] el: 1032 cg: -1 cu: CCU v1: 70 n1: 70 u1: kg id: Allergy 1 t0: [07:36:00 31/12/2018] el: 1020 cg: -1 cu: CCU v1: No Known Drug Allergies id: Diagnosis/op t0: [07:36:00 31/12/2018] el: 1023 cg: -1 cu: CCU v1: CORONARY ARTERY DISEASE id: Service t0: [07:36:00 31/12/2018] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [07:36:00 31/12/2018] el: 1034 cg: -1 cu: CCU v1: 67 n1: 67 u1: inches id: Readmission t0: [07:36:00 31/12/2018] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [07:36:00 31/12/2018] el: 1006 cg: -1 cu: CCU v1: M id: Religion t0: [07:36:00 31/12/2018] el: 1000 cg: -1 cu: CCU v1: RCA id: Allergy 2 t0: [07:36:00 31/12/2018] el: 1021 cg: -1 cu: CCU id: Ext t0: [07:36:00 31/12/2018] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [07:36:00 31/12/2018] el: 1022 cg: -1 cu: CCU
id: Service Type t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: % st: NotStopd id: Ectopy Frequency t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP setting t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: PAP S/D t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: PCWP t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: Arterial BP t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Systolic Unloading t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: % st: NotStopd id: Arterial BP #2 t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: calprevflg t0: [07:10:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [07:10:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:10:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [07:10:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [07:10:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 38.4615 n1: 38.4615 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: ETT Position Change t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: Done st: NotStopd id: FiO2 Set t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Pressure Support t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 2500 n1: 2500 st: NotStopd id: Ve High t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 696 n1: 696 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: IABP setting t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: PAP S/D t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Respiratory Rate t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: SpO2 t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: % st: NotStopd id: Arterial BP #2 t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Temp. Site t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [08:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [08:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [08:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd id: Edema Location/Amt#2 t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Height of Bed t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: LL Strength/Movement t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: LLE Temp/Color t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: LUE Temp/Color t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #2 t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position Change t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: RL Strength/Movement t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: RLE Temp/Color t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUE Temp/Color t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Urine Color/Appear t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Pink v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [08:00:00 31/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.4 vu: ml id: TF Residual t0: [08:00:00 31/12/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 300 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [08:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [08:00:00 31/12/2018] el: 1 ai: 168 cg: RN cu: CCU vu: ml st: Stopped id: Urine Out Foley t0: [08:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 400 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: CVP t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: IABP setting t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: PAP S/D t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Previous WeightF t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: Augmented Diastole t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg st: NotStopd id: Respiratory Rate t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: BAEDP t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: SpO2 t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Systolic Unloading t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Arterial BP #2 t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: calprevflg t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [09:00:00 31/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.4 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [09:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 160 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Fentanyl t0: [09:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [09:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [09:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: CVP t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: IABP setting t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: PAP S/D t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Previous WeightF t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: Augmented Diastole t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Respiratory Rate t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: SpO2 t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: % st: NotStopd id: Arterial BP #2 t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: calprevflg t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [10:00:00 31/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.4 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [10:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Fentanyl t0: [10:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [10:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [10:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: CVP t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 31/12/2018] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: IABP setting t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: PAP S/D t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Previous WeightF t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: Augmented Diastole t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg st: NotStopd id: Reason For Restraint t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Side Rails t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Arterial BP #2 t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: calprevflg t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [11:00:00 31/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.4 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [11:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: Urine Out Foley t0: [11:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Fentanyl t0: [11:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [11:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [11:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [11:23:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: CaO2 t0: [11:23:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 14.0448 n1: 14.0448 u1: ml/dl st: NotStopd id: Glucose t0: [11:23:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 133 n1: 133 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:23:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:23:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:23:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:23:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 125 n1: 125 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:23:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Glucose (70-105) t0: [11:23:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 133 n1: 133 rs: Final st: NotStopd id: SaO2 t0: [11:23:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [11:30:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Cardiac Index t0: [11:30:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 2.82609 n1: 2.82609 u1: ... st: NotStopd id: Circulation/SkinInt t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: DO2I t0: [11:23:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 396.2 n1: 396.2 u1: ml/m/m st: NotStopd id: Daily Wake Up t0: [12:00:00 31/12/2018] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd id: Edema Location/Amt#2 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Education Barrier t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Anxiety st: NotStopd id: Education Handout t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Response t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Follows Commands t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Heart Rate t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: IABP Mean t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: IABP setting t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#4 Type/Site t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: LL Strength/Movement t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: LLE Temp/Color t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: LUE Temp/Color t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #2 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg st: NotStopd id: PAP S/D t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:30:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: RLE Temp/Color t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUE Temp/Color t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg st: NotStopd id: Reason For Restraint t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: SVR t0: [11:30:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1230.77 n1: 1230.77 u1: ... st: NotStopd id: SVRI t0: [11:30:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 2261.48 n1: 2261.48 u1: ... st: NotStopd id: Seizure Activity t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: BAEDP t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Side Rails t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Support Systems t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: Arterial BP #2 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Tubing Change t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Temp. Site t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Pink v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Mixed Venous O2% Sat t0: [11:30:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 rs: Manual st: NotStopd id: C.O. (fick) t0: [11:30:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 5.15751 n1: 5.15751 u1: L/min st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [12:00:00 31/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.4 vu: ml nb: 1 id: TF Residual t0: [11:00:00 31/12/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 110 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [11:00:00 31/12/2018] el: 1 ai: 111 cg: RN cu: CCU vo: 50 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [12:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vu: ml nb: 1
id: Fentanyl t0: [12:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [12:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [12:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PTT t0: [11:01:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 58.9 n1: 58.9 rs: Final st: NotStopd id: PTT(22-35) t0: [11:01:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 58.9 n1: 58.9 rs: Final st: NotStopd
pi: 4379158 hi: 19952 t0: [13:00:00 31/12/2018] tf: [12:00:00 01/01/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 31.25 n1: 31.25 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 8.1 n1: 8.1 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Pressure Support t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 597 n1: 597 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
pi: 4379179 hi: 19952 t0: [14:00:00 31/12/2018] tf: [10:00:00 07/01/2019] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 12H ds: 14, 2 dn: 2 di: Ongoing xv: 36 xu: Hours
id: CVP t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: IABP setting t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: PAP S/D t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Previous WeightF t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: Augmented Diastole t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Respiratory Rate t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: SpO2 t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Arterial BP #2 t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: calprevflg t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [13:00:00 31/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 8.4 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [13:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [13:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [13:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [13:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [13:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4379310 hi: 19952 t0: [15:00:00 31/12/2018] tf: [07:00:00 11/01/2019] mn: Bisacodyl pt: Unit Dose st: Discontinued rt: PR fr: HS:PRN di: Ongoing xv: 36 xu: Hours
id: CVP t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Ectopy Frequency t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: IABP setting t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg st: NotStopd id: PAP S/D t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Previous WeightF t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: Augmented Diastole t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Respiratory Rate t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: SpO2 t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Arterial BP #2 t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: calprevflg t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [14:00:00 31/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [14:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 400 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Fentanyl t0: [14:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [14:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [14:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Oral Care t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Service Type t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Ectopy Frequency t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP S/D t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Arterial BP #2 t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Temp. Site t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: CVP t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: IABP setting t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: PAP S/D t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: PCWP t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Previous WeightF t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: Augmented Diastole t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Respiratory Rate t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: SpO2 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Arterial BP #2 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: calprevflg t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [16:00:00 31/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 18.9 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [16:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [15:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 450 vu: ml id: Urine Out Foley t0: [16:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 280 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [16:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [16:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [16:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4379509 hi: 19952 t0: [17:00:00 31/12/2018] tf: [16:00:00 01/01/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Art.pH t0: [16:04:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:04:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:04:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 37 n1: 37 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:04:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:04:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 150 n1: 150 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:04:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Hematocrit t0: [16:04:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 u1: % rs: Final st: NotStopd id: SaO2 t0: [16:04:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: CaO2 t0: [16:04:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 14.1129 n1: 14.1129 u1: ml/dl st: NotStopd id: Cardiac Index t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 2.6087 n1: 2.6087 u1: ... st: NotStopd id: DO2I t0: [16:04:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 365.4 n1: 365.4 u1: ml/m/m st: NotStopd id: PVRI t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 306.513 n1: 306.513 u1: ... st: NotStopd id: SVR t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1000 n1: 1000 u1: ... st: NotStopd id: SVRI t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1839.08 n1: 1839.08 u1: ... st: NotStopd id: Hemoglobin t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10.5 n1: 10.5 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 rs: Manual st: NotStopd id: C.O. (fick) t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 4.80789 n1: 4.80789 u1: L/min st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Abdominal Assessment t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: LL Strength/Movement t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: LLE Temp/Color t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: LUE Temp/Color t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #2 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Angio Site #1 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position Change t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RL Strength/Movement t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: RLE Temp/Color t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUE Temp/Color t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Urine Color/Appear t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Pink v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Compliance (40-60ml) t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 29.4118 n1: 29.4118 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 7.3 n1: 7.3 u1: L/min st: NotStopd id: PEEP Set t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Pressure Support t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 529 n1: 529 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:40:00 31/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: CVP t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Diastolic Unloading t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: IABP setting t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg st: NotStopd id: PAP S/D t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Assisted Systole t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Previous WeightF t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: Augmented Diastole t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Respiratory Rate t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: SpO2 t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Arterial BP #2 t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: calprevflg t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [17:00:00 31/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [17:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Fentanyl t0: [17:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [17:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Calcium t0: [15:46:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Magnesium t0: [15:46:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [15:46:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 4.9 n1: 4.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [15:46:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [15:46:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [15:46:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [15:46:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 4.9 n1: 4.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:46:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd
id: INV Line#1 Type/Site t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1InsertDate t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bleeding st: NotStopd id: INV Line#3 Type/Site t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 Dsg Change t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#1 Tubing Change t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Tubing Change t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd
id: D5W 100.0ml t0: [18:00:00 31/12/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [18:00:00 31/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [18:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [18:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [18:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Dobutamine t0: [17:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Less Restrict Meas. t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: CVP t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: IABP setting t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: PAP S/D t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: PCWP t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Previous WeightF t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: Augmented Diastole t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Reason For Restraint t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Side Rails t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Arterial BP #2 t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: calprevflg t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Fentanyl t0: [18:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [18:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Glucose t0: [18:49:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 158 n1: 158 rs: Final st: NotStopd id: Glucose (70-105) t0: [18:49:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 158 n1: 158 rs: Final st: NotStopd
id: Cardiac Index t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 2.28261 n1: 2.28261 u1: ... st: NotStopd id: PVRI t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 421.053 n1: 421.053 u1: ... st: NotStopd id: SVR t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 971.429 n1: 971.429 u1: ... st: NotStopd id: SVRI t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1789.47 n1: 1789.47 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 61 n1: 61 rs: Manual st: NotStopd id: C.O. (fick) t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 4.1915 n1: 4.1915 u1: L/min st: NotStopd
pi: 4379905 hi: 19952 t0: [20:00:00 31/12/2018] tf: [19:00:00 01/01/2019] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: IABP setting t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: PAP S/D t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Respiratory Rate t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: SpO2 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Arterial BP #2 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Temp. Site t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 38.1667 n1: 38.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 100.7 n1: 100.7 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [20:00:00 31/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 18.9 vu: ml id: Carrier t0: [20:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Promote w/fiber t0: [20:00:00 31/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [20:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [20:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Capillary Refill R/L t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Circulation/SkinInt t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Corneal Reflex R/L t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Intact v2: Intact st: NotStopd id: Cough Reflex t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd id: Edema Location/Amt#2 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Abdominal Assessment t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: KneeImmobilizer/Loc t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: LL Strength/Movement t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: LUE Temp/Color t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Location t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position Change t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: PressSoreTreatment#1 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: Pupil Response R/L t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUE Temp/Color t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Turn t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Pink v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 31/12/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: TF Residual t0: [20:00:00 31/12/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 3 vu: ml
id: Compliance (40-60ml) t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 26.3158 n1: 26.3158 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 4.5 n1: 4.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 6.8 n1: 6.8 u1: L/min st: NotStopd id: PEEP Set t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 2500 n1: 2500 st: NotStopd id: Tank B psi. t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Ve High t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 494 n1: 494 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [21:00:00 31/12/2018] el: 0 cg: MS cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Ectopy Frequency t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: IABP setting t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: PAP S/D t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: PCWP t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Respiratory Rate t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Systolic Unloading t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: % st: NotStopd id: Arterial BP #2 t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: calprevflg t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [21:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [21:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [21:23:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Arterial Base Excess t0: [21:23:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 9 n1: 9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [21:23:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [21:23:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [21:23:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 147 n1: 147 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [21:23:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Hematocrit t0: [21:23:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 u1: % rs: Final st: NotStopd id: SaO2 t0: [21:23:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: CaO2 t0: [21:23:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 13.8503 n1: 13.8503 u1: ml/dl st: NotStopd id: Cardiac Index t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 2.3913 n1: 2.3913 u1: ... st: NotStopd id: DO2I t0: [21:23:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 334.6 n1: 334.6 u1: ml/m/m st: NotStopd id: PVRI t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 435.146 n1: 435.146 u1: ... st: NotStopd id: SVR t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1072.73 n1: 1072.73 u1: ... st: NotStopd id: SVRI t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1974.9 n1: 1974.9 u1: ... st: NotStopd id: Hemoglobin t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10.2 n1: 10.2 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 62 n1: 62 rs: Manual st: NotStopd id: C.O. (fick) t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 4.42832 n1: 4.42832 u1: L/min st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [21:00:00 31/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [21:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [21:00:00 31/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [22:00:00 31/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [22:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [22:00:00 31/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 320 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Less Restrict Meas. t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Ectopy Frequency t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd id: Edema Location/Amt#2 t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Health Care Proxy t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: IABP setting t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bleeding st: NotStopd id: INV Line#3 Type/Site t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: PAP Mean t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: PAP S/D t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Pressure Sore Site#1 t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: ROM t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Passive v2: All Extremities st: NotStopd id: Augmented Diastole t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Reason For Restraint t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: Side Rails t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Arterial BP #2 t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Tubing Change t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Temp. Site t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 38.2222 n1: 38.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 100.8 n1: 100.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Back Care t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Urine Out Foley t0: [21:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 20 vu: ml
id: Fentanyl t0: [22:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [22:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: GI Prophylaxis t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Abdominal Assessment t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Oral Cavity t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Angio Site #1 t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: RLL Lung Sounds t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Stool Color/Consist t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Brown v2: Hard st: NotStopd id: Urine Source t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Bowel Sounds t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: Stool Out Stool t0: [22:00:00 31/12/2018] el: 1 cg: RN cu: CCU vu: ml es: Small
id: FiO2 Set t0: [22:15:00 31/12/2018] el: 0 cg: MS cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd
id: Stool Out Total t0: [23:00:00 31/12/2018] el: 2 cg: 1663 cu: CCU cv: 0 ac: 24 ap: carryForward re: 0
id: Service Type t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough Reflex t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Diet Type t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Eye Opening t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Heart Rate t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: IABP setting t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: LL Strength/Movement t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: Level of Conscious t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: PAP S/D t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: Augmented Diastole t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Respiratory Pattern t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: BAEDP t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: SpO2 t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Spontaneous Movement t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Brown v2: Hard st: NotStopd id: Stool Guaiac t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: Systolic Unloading t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Arterial BP #2 t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Urine Color/Appear t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Pink v2: Sediment st: NotStopd id: Urine Source t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [23:00:00 31/12/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [23:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Free Water Bolus t0: [21:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [23:00:00 31/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 300 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 31/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Fentanyl t0: [23:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [23:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 31/12/2018] el: 2 cg: RN cu: CCU cv: 110 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 31/12/2018] el: 2 cg: RN cu: CCU pv: 300 cv: 300 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 31/12/2018] el: 2 cg: RN cu: CCU pv: 10 cv: 510 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 31/12/2018] el: 2 cg: RN cu: CCU pv: 300 cv: 4290 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 31/12/2018] el: 2 cg: RN cu: CCU pv: 300 cv: 4290 ac: 24 ap: carryForward re: 0
id: Art.pH t0: [23:36:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: CaO2 t0: [23:36:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 13.6052 n1: 13.6052 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [23:36:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:36:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:36:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:36:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 112 n1: 112 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:36:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: SaO2 t0: [23:36:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 29.4118 n1: 29.4118 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 4.5 n1: 4.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 6.7 n1: 6.7 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 2500 n1: 2500 st: NotStopd id: Tank B psi. t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Ve High t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 481 n1: 481 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Range of Motion t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd id: Edema Location/Amt#2 t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Health Care Proxy t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: HOB t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: IABP setting t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Activity t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Oral Care t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PAP Mean t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: PAP S/D t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Pain Management t0: [00:00:00 01/01/2019] el: 1 cg: RN cu: CCU v1: IV Gtt v2: Repositioned st: NotStopd id: Arterial BP Mean t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg st: NotStopd id: Reason For Restraint t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Side Rails t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Arterial BP #2 t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Temp. Site t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 38.0556 n1: 38.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 100.5 n1: 100.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: calprevflg t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [00:00:00 01/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [00:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 01/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [00:00:00 01/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Fentanyl t0: [00:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [00:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: TF Residual t0: [00:00:00 01/01/2019] el: 1 ai: 304 cg: RN cu: CCU vo: 10 vu: ml
id: Service Type t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Health Care Proxy t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: IABP Mean t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: IABP setting t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: PAP S/D t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Respiratory Rate t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: SpO2 t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Systolic Unloading t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Arterial BP #2 t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: calprevflg t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [01:00:00 01/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [01:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [23:00:00 31/12/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 01/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [01:00:00 01/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [01:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [01:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [01:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 31/12/2018] el: 2 cg: RN cu: CCU pv: 292.95 cv: 1872.7 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 31/12/2018] el: 2 cg: RN cu: CCU pv: 302.95 cv: 2492.7 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 31/12/2018] el: 2 cg: RN cu: CCU pv: 2.95001 cv: -1797.3 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 31/12/2018] el: 2 cg: RN cu: CCU pv: 2.95001 cv: 4150.1 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 31/12/2018] el: 2 cg: RN cu: CCU pv: 2.95001 cv: 2.95001 ac: 1 ap: none re: 0
id: Ectopy Frequency t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rhythm t0: [01:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough Reflex t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Glucose t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 151 n1: 151 rs: Manual st: NotStopd id: Diastolic Unloading t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Diet Type t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd id: Edema Location/Amt#2 t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: IABP setting t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1InsertDate t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Bleeding st: NotStopd id: INV Line#3 Type/Site t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#4 Type/Site t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Dampened st: NotStopd id: INV#2 WaveformAppear t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: LL Strength/Movement t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: LUE Temp/Color t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP S/D t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Pressure Sore Site#1 t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUE Temp/Color t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Reason For Restraint t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Responds to Stimuli t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: BAEDP t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: Side Rails t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Integrity t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Arterial BP #2 t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Tubing Change t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Temp. Site t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Pink v2: Sediment st: NotStopd id: Urine Source t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [02:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Glucose (70-105) t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 151 n1: 151 rs: Manual st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [02:00:00 01/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [02:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 01/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [02:00:00 01/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [02:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [02:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [02:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Ectopy Frequency t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: IABP setting t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP S/D t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 01/01/2019] 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: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Respiratory Rate t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: SpO2 t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Systolic Unloading t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: % st: NotStopd id: Arterial BP #2 t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: calprevflg t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [03:00:00 01/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [03:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 01/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [03:00:00 01/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [03:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [03:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Potassium t0: [03:26:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:26:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 rs: Final st: NotStopd
id: Oral Care t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PressureReduceDevice t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: Therapeutic Bed t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd
id: Urine Out Foley t0: [03:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Compliance (40-60ml) t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 29.4118 n1: 29.4118 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 4.5 n1: 4.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 6.7 n1: 6.7 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 2500 n1: 2500 st: NotStopd id: Tank B psi. t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Ve High t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 488 n1: 488 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 01/01/2019] el: 0 cg: MS cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: IABP setting t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: PAP S/D t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Respiratory Rate t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Arterial BP #2 t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Temp. Site t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: calprevflg t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [04:00:00 01/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [04:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TF Residual t0: [03:00:00 01/01/2019] el: 1 ai: 304 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 01/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [04:00:00 01/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [04:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [04:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [04:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Riker-SAS Scale t0: [00:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [03:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [23:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd id: Edema Location/Amt#2 t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Education Topic #1 t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Position Change t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Reason For Restraint t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Support Systems t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Behavior t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [04:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Service Type t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough Reflex t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Diet Type t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Eye Opening t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Heart Rate t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: IABP setting t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Abdominal Assessment t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LU Strength/Movement t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUE Temp/Color t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: PAP S/D t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RU Strength/Movement t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUE Temp/Color t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Augmented Diastole t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Respiratory Pattern t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Responds to Stimuli t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: BAEDP t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: SpO2 t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Systolic Unloading t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: % st: NotStopd id: Arterial BP #2 t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Urine Color/Appear t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [05:00:00 01/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [05:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 01/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [05:00:00 01/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [05:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 280 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [05:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [05:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [05:11:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.57 n1: 7.57 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:11:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 11 n1: 11 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:11:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:11:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 37 n1: 37 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:11:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 132 n1: 132 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:11:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.57 n1: 7.57 rs: Final st: NotStopd id: Hematocrit t0: [05:11:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 u1: % rs: Final st: NotStopd id: SaO2 t0: [05:11:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Glucose t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 119 n1: 119 rs: Manual st: NotStopd id: Glucose (70-105) t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 119 n1: 119 rs: Manual st: NotStopd
id: WBC (4-11,000) t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 10.5 n1: 10.5 rs: Final st: NotStopd id: WBC t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 10.5 n1: 10.5 rs: Final st: NotStopd id: Hematocrit t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 27.7 n1: 27.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 9.8 n1: 9.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 87 n1: 87 rs: Final st: NotStopd id: RBC t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 10.5 n1: 10.5 rs: Final st: NotStopd
id: Art.pH t0: [05:47:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:47:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:47:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:47:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:47:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 109 n1: 109 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:47:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: SaO2 t0: [05:47:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: CaO2 t0: [05:11:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 13.9352 n1: 13.9352 u1: ml/dl st: NotStopd id: CaO2 t0: [05:47:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 13.7258 n1: 13.7258 u1: ml/dl st: NotStopd id: Cardiac Index t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 2.82609 n1: 2.82609 u1: ... st: NotStopd id: DO2I t0: [05:11:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 396.2 n1: 396.2 u1: ml/m/m st: NotStopd id: DO2I t0: [05:47:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 396.2 n1: 396.2 u1: ml/m/m st: NotStopd id: PCWP t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: PVRI t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 452.297 n1: 452.297 u1: ... st: NotStopd id: SVR t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 892.308 n1: 892.308 u1: ... st: NotStopd id: SVRI t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1639.58 n1: 1639.58 u1: ... st: NotStopd id: Temp. Site t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Hemoglobin t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10.3 n1: 10.3 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 66 n1: 66 rs: Manual st: NotStopd id: C.O. (fick) t0: [05:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 5.20758 n1: 5.20758 u1: L/min st: NotStopd
id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [06:00:00 01/01/2019] el: 1 ai: 189 cg: -1 cu: CCU vo: 0 st: D/C'd
id: PT t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 23.2 n1: 23.2 rs: Final st: NotStopd id: INR t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: PTT t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 61.4 n1: 61.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 23.2 n1: 23.2 rs: Final st: NotStopd id: PTT(22-35) t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 61.4 n1: 61.4 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Ectopy Frequency t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: IABP setting t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP S/D t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Respiratory Rate t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: SpO2 t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Systolic Unloading t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Arterial BP #2 t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: calprevflg t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [06:00:00 01/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [06:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 01/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [06:00:00 01/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [06:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [06:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [06:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd id: Edema Location/Amt#2 t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Education Topic #1 t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Family Communication t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: HOB t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Activity t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Position t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Pressure Sore Site#1 t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ROM t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Passive v2: Both Arms st: NotStopd id: Reason For Restraint t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Support Systems t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Therapeutic Bed t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Behavior t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Riker-SAS Scale t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: INV Line#1 Type/Site t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1InsertDate t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#2 Type/Site t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#3 Type/Site t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#4 Type/Site t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV#1 Dsg Change t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#3 Dsg Change t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#1 Tubing Change t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Tubing Change t0: [06:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd
id: BUN t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 19 n1: 19 rs: Final st: NotStopd id: Chloride t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 rs: Final st: NotStopd id: Creatinine t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 118 n1: 118 rs: Final st: NotStopd id: Magnesium t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Potassium t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 4.8 n1: 4.8 rs: Final st: NotStopd id: Sodium t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 133 n1: 133 rs: Final st: NotStopd id: BUN (6-20) t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 19 n1: 19 rs: Final st: NotStopd id: Carbon Dioxide t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 118 n1: 118 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 4.8 n1: 4.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:13:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 133 n1: 133 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 01/01/2019] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd id: Edema Location/Amt#2 t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Heart Rate t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: IABP setting t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Abdominal Assessment t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: LL Strength/Movement t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LLE Temp/Color t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUE Temp/Color t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Angio Site #1 t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 78.5 n1: 78.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUE Temp/Color t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Reason For Restraint t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: BAEDP t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: Side Rails t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Arterial BP #2 t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Temp. Site t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [08:00:00 01/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 18.9 vu: ml id: Carrier t0: [08:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 01/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Promote w/fiber t0: [08:00:00 01/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [08:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [07:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [07:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 29.4118 n1: 29.4118 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 6.9 n1: 6.9 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Pressure Support t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 2600 n1: 2600 st: NotStopd id: Tank B psi. t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Ve High t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 507 n1: 507 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
pi: 4380916 hi: 19952 t0: [10:00:00 01/01/2019] tf: [20:00:00 01/01/2019] mn: Furosemide pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label pi: 4380917 hi: 19952 t0: [10:00:00 01/01/2019] tf: [09:00:00 02/01/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Hematocrit t0: [09:46:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 u1: % rs: Final st: NotStopd
id: Service Type t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Cardiac Index t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 2.06522 n1: 2.06522 u1: ... st: NotStopd id: Code Status t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: IABP setting t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: PAP S/D t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: Arterial BP t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Respiratory Rate t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SVR t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1031.58 n1: 1031.58 u1: ... st: NotStopd id: SVRI t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1893.72 n1: 1893.72 u1: ... st: NotStopd id: BAEDP t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: Systolic Unloading t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Arterial BP #2 t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: calprevflg t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Hemoglobin t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10.5 n1: 10.5 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 54 n1: 54 rs: Manual st: NotStopd id: SaO2 t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [09:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 3.80159 n1: 3.80159 u1: L/min st: NotStopd
id: Fentanyl t0: [09:30:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:30:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [09:30:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Capillary Refill R/L t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Circulation/SkinInt t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd id: Edema Location/Amt#2 t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Health Care Proxy t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: IABP Mean t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: IABP setting t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [09:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1InsertDate t0: [09:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#2 Type/Site t0: [09:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [09:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#3 Type/Site t0: [09:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [09:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#4 Type/Site t0: [09:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [09:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: Activity t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Oral Care t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PAP Mean t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP Mean t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: PAP S/D t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: PAP S/D t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Assisted Systole t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [09:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [09:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#3 Dsg Change t0: [09:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [09:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Pressure Sore Site#1 t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Pinpoint v2: Pinpoint st: NotStopd id: Augmented Diastole t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Augmented Diastole t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Radial Pulse R/L t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU st: NotStopd id: Reason For Restraint t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: BAEDP t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: Side Rails t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Systolic Unloading t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Arterial BP #2 t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [09:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [09:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [09:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [09:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Tubing Change t0: [09:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Therapeutic Bed t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [10:00:00 01/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 18.9 vu: ml id: Carrier t0: [10:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 01/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Promote w/fiber t0: [10:00:00 01/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [10:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [08:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [08:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Argatroban t0: [10:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 26.3158 n1: 26.3158 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 8.3 n1: 8.3 u1: L/min st: NotStopd id: PEEP Set t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Pressure Support t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 2600 n1: 2600 st: NotStopd id: Tank B psi. t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Ve High t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 480 n1: 480 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:21:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: % st: NotStopd id: Ectopy Frequency t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: PAP Mean t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: PAP S/D t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Respiratory Rate t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: BAEDP t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: Systolic Unloading t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: % st: NotStopd id: Arterial BP #2 t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: calprevflg t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [11:00:00 01/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [11:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 01/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [11:00:00 01/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [11:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 210 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Argatroban t0: [11:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Lasix io: D5W 100.0ml + 100mghr Lasix el: 100 cg: RN cu: CCU am: 100 du: mghr rt: IV Drip
io: D5W 100.0ml + 100mghr Lasix el: 1 cg: RN cu: CCU ra: 2 ru: ml/hr
id: Less Restrict Meas. t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Circulation/SkinInt t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Daily Wake Up t0: [12:00:00 01/01/2019] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd id: Edema Location/Amt#2 t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rhythm t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Abdominal Assessment t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: LL Strength/Movement t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUE Temp/Color t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Angio Site #1 t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assisted Systole t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: PressureReduceDevice t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: RL Strength/Movement t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUE Temp/Color t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg st: NotStopd id: Reason For Restraint t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: BAEDP t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Side Rails t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Pt./Family Informed t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [12:00:00 01/01/2019] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [12:00:00 01/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [12:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 01/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Promote w/fiber t0: [12:00:00 01/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [12:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Service Type t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Glucose t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 166 n1: 166 rs: Manual st: NotStopd id: Health Care Proxy t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: PAP Mean t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: PAP S/D t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: Precautions t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Arterial BP #2 t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: calprevflg t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Glucose (70-105) t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 166 n1: 166 rs: Manual st: NotStopd
id: Argatroban t0: [12:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Fentanyl t0: [11:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [12:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Ectopy Frequency t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: IABP Mean t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: PAP Mean t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP S/D t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Precautions t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg st: NotStopd id: Respiratory Rate t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: SpO2 t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Systolic Unloading t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: % st: NotStopd id: Arterial BP #2 t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: calprevflg t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [13:00:00 01/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [13:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 01/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Promote w/fiber t0: [13:00:00 01/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [13:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [13:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [13:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [13:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [13:49:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: Arterial Base Excess t0: [13:49:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [13:49:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd id: Arterial PaCO2 t0: [13:49:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [13:49:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [13:49:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: Hematocrit t0: [13:49:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 u1: % rs: Final st: NotStopd id: SaO2 t0: [13:49:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
pi: 4382178 hi: 19952 t0: [16:00:00 01/01/2019] tf: [09:00:00 02/01/2019] mn: Captopril pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Hematocrit t0: [13:27:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 26.5 n1: 26.5 u1: % rs: Final st: NotStopd
id: Service Type t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: IABP Mean t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: PAP Mean t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: PAP S/D t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Precautions t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg st: NotStopd id: Respiratory Rate t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: SpO2 t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Arterial BP #2 t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: calprevflg t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [14:00:00 01/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [14:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 01/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Promote w/fiber t0: [14:00:00 01/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [14:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [14:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [14:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [14:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 01/01/2019] el: 2 cg: RN cu: CCU pv: 253.45 cv: 1516.3 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 01/01/2019] el: 2 cg: RN cu: CCU pv: 253.45 cv: 1841.3 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 01/01/2019] el: 2 cg: RN cu: CCU pv: 130 cv: 130 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 01/01/2019] el: 2 cg: RN cu: CCU cv: 265 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 01/01/2019] el: 2 cg: RN cu: CCU pv: 130 cv: 2750 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 01/01/2019] el: 2 cg: RN cu: CCU pv: 123.45 cv: -923.7 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 01/01/2019] el: 2 cg: RN cu: CCU pv: 123.45 cv: 3226.4 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 01/01/2019] el: 2 cg: RN cu: CCU pv: 123.45 cv: 123.45 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 01/01/2019] el: 2 cg: RN cu: CCU pv: 130 cv: 2765 ac: 24 ap: none re: 0
id: CaO2 t0: [13:49:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 13.8234 n1: 13.8234 u1: ml/dl st: NotStopd id: Cardiac Index t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 2.11957 n1: 2.11957 u1: ... st: NotStopd id: DO2I t0: [13:49:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 296.8 n1: 296.8 u1: ml/m/m st: NotStopd id: Hemoglobin t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10.5 n1: 10.5 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 54 n1: 54 rs: Manual st: NotStopd id: C.O. (fick) t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 3.8921 n1: 3.8921 u1: L/min st: NotStopd
id: Service Type t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: IABP setting t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SVR t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1189.74 n1: 1189.74 u1: ... st: NotStopd id: SVRI t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 2188.68 n1: 2188.68 u1: ... st: NotStopd id: Arterial BP #2 t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: calprevflg t0: [13:30:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [13:30:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [13:30:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [13:30:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [13:30:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Previous WeightF t0: [16:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU u1: kg st: NotStopd
id: BUN t0: [13:27:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd id: Chloride t0: [13:27:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 94 n1: 94 rs: Final st: NotStopd id: Creatinine t0: [13:27:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [13:27:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 149 n1: 149 rs: Final st: NotStopd id: Magnesium t0: [13:27:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Potassium t0: [13:27:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium t0: [13:27:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 133 n1: 133 rs: Final st: NotStopd id: BUN (6-20) t0: [13:27:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd id: Carbon Dioxide t0: [13:27:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Chloride (100-112) t0: [13:27:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 94 n1: 94 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [13:27:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [13:27:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 149 n1: 149 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [13:27:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [13:27:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [13:27:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 133 n1: 133 rs: Final st: NotStopd
id: PT t0: [13:27:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 24.8 n1: 24.8 rs: Final st: NotStopd id: INR t0: [13:27:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: PTT t0: [13:27:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 64.3 n1: 64.3 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [13:27:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [13:27:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 24.8 n1: 24.8 rs: Final st: NotStopd id: PTT(22-35) t0: [13:27:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 64.3 n1: 64.3 rs: Final st: NotStopd
id: Minute Volume (Set) t0: [15:00:00 01/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd
id: Less Restrict Meas. t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [15:00:00 01/01/2019] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Diastolic Unloading t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Ectopy Frequency t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Edema Location/Amt#1 t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd id: Edema Location/Amt#2 t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Health Care Proxy t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Follows Commands t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: HOB t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: HOB t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: HOB t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: IABP setting t0: [11:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: IABP setting t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: IABP setting t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: IABP setting t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: IABP setting t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: INV Line#1 Type/Site t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Oral Care t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PAP Mean t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: PAP S/D t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: PresSoreStage/Heal#1 t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Through Dermis st: NotStopd id: Assisted Systole t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: PressSoreCleansing#1 t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: PressSoreTreatment#1 t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#3 Dsg Change t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: PressSoreWoundBase#1 t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Black st: NotStopd id: Pressure Sore Site#1 t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: PressureReduceDevice t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Pinpoint v2: Pinpoint st: NotStopd id: Augmented Diastole t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg st: NotStopd id: Reason For Restraint t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: Side Rails t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: % st: NotStopd id: Systolic Unloading t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: % st: NotStopd id: Arterial BP #2 t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Tubing Change t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Temp. Site t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 38.2778 n1: 38.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 100.9 n1: 100.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [13:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Back Care t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [14:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [15:00:00 01/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [15:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TF Residual t0: [12:00:00 01/01/2019] el: 1 ai: 304 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 01/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Promote w/fiber t0: [15:00:00 01/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [15:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [15:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [15:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Lasix t0: [15:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 27.7778 n1: 27.7778 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 6.6 n1: 6.6 u1: L/min st: NotStopd id: PEEP Set t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Pressure Support t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 2600 n1: 2600 st: NotStopd id: Tank B psi. t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Ve High t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 504 n1: 504 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [15:36:00 01/01/2019] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
pi: 4382495 hi: 19952 t0: [17:00:00 01/01/2019] tf: [16:00:00 02/01/2019] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Dobutamine io: D5W 250.0ml + 250mcgkgmin Dobutamine el: 200 cg: RN cu: CCU am: 250 du: mcgkgmin rt: IV Drip
id: Less Restrict Meas. t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Cardiac Index t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 2.11957 n1: 2.11957 u1: ... st: NotStopd id: Circulation/SkinInt t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd id: Edema Location/Amt#2 t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Health Care Proxy t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Heart Rate t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP setting t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: PAP Mean t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: PAP S/D t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Position Change t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Arterial BP #2 t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: calprevflg t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Hemoglobin t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10.5 n1: 10.5 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 54 n1: 54 rs: Manual st: NotStopd id: SaO2 t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 3.8921 n1: 3.8921 u1: L/min st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [16:00:00 01/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [17:00:00 01/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [16:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Carrier t0: [17:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 01/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 01/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Promote w/fiber t0: [16:00:00 01/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 15 vu: ml id: Promote w/fiber t0: [17:00:00 01/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [16:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [16:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [16:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP setting t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: PAP Mean t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: PAP S/D t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Precautions t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Arterial BP #2 t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: calprevflg t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [17:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [17:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [17:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: IABP Mean t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Assisted Systole t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Augmented Diastole t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg st: NotStopd id: SVR t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1251.28 n1: 1251.28 u1: ... st: NotStopd id: SVRI t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 2301.89 n1: 2301.89 u1: ... st: NotStopd id: BAEDP t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Systolic Unloading t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: % st: NotStopd
id: Alarms t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Urine Out Foley t0: [17:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 170 vu: ml
id: IABP Mean t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Assisted Systole t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Augmented Diastole t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: BAEDP t0: [17:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Hematocrit t0: [16:08:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 28.3 n1: 28.3 u1: % rs: Final st: NotStopd
id: Fingerstick Glucose t0: [17:00:00 01/01/2019] el: 0 cg: CoWker cu: CCU v1: 165 n1: 165 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Corneal Reflex R/L t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Intact v2: Intact st: NotStopd id: Cough Reflex t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Edema Location/Amt#1 t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd id: Edema Location/Amt#2 t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Heart Rate t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: IABP setting t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Abdominal Assessment t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Impaired Skin Site#1 t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Airway Size t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: LL Strength/Movement t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUE Temp/Color t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Angio Site #1 t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: PAP S/D t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Pressure Sore Site#1 t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUE Temp/Color t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg st: NotStopd id: Reason For Restraint t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: BAEDP t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Side Rails t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Suctioned v2: Copious st: NotStopd id: Support Systems t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: % st: NotStopd id: Arterial BP #2 t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Temp. Site t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Pink v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: Verbal Response t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [18:00:00 01/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [18:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TF Residual t0: [16:00:00 01/01/2019] el: 1 ai: 304 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 01/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Promote w/fiber t0: [18:00:00 01/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [18:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [18:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [18:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [18:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [18:00:00 01/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [16:00:00 01/01/2019] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml
id: Service Type t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Precautions t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [19:00:00 01/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [19:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TF Residual t0: [19:00:00 01/01/2019] el: 1 ai: 304 cg: RN cu: CCU vo: 170 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 01/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: Argatroban t0: [19:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [19:00:00 01/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: CVP t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Ectopy Frequency t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: PAP Mean t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: PAP S/D t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Assisted Systole t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Augmented Diastole t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Respiratory Rate t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: SpO2 t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: Arterial BP #2 t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: calprevflg t0: [19:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Eye Care t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Activity t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Position t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: Skin Care t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Back Care t0: [18:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Urine Out Foley t0: [19:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Fentanyl t0: [19:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [19:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4383385 hi: 19952 t0: [21:00:00 01/01/2019] tf: [01:00:00 02/01/2019] mn: Furosemide pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label
id: Service Type t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: % st: NotStopd id: Ectopy Frequency t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#4 Type/Site t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: PAP Mean t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: PAP S/D t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Respiratory Rate t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: SpO2 t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: % st: NotStopd id: Arterial BP #2 t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Tubing Change t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: calprevflg t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [20:00:00 01/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [20:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 01/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 300 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [20:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [20:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [20:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [20:44:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: CaO2 t0: [20:44:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 14.3094 n1: 14.3094 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [20:44:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 11 n1: 11 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [20:44:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 37 n1: 37 rs: Final st: NotStopd id: Arterial PaCO2 t0: [20:44:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [20:44:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 168 n1: 168 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [20:44:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: SaO2 t0: [20:44:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 31.25 n1: 31.25 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 1:2.6 st: NotStopd id: Airway Size t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 6.4 n1: 6.4 u1: L/min st: NotStopd id: PEEP Set t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 1.4 n1: 1.4 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 2800 n1: 2800 st: NotStopd id: Tank B psi. t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Ve High t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 470 n1: 470 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Total PEEP Level t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: 6.4 n1: 6.4 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:45:00 01/01/2019] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: BUN t0: [20:18:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd id: Chloride t0: [20:18:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 95 n1: 95 rs: Final st: NotStopd id: Creatinine t0: [20:18:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [20:18:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd id: Magnesium t0: [20:18:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Sodium t0: [20:18:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 135 n1: 135 rs: Final st: NotStopd id: BUN (6-20) t0: [20:18:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd id: Carbon Dioxide t0: [20:18:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Chloride (100-112) t0: [20:18:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 95 n1: 95 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [20:18:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [20:18:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [20:18:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [20:18:00 01/01/2019] el: 0 cg: 1663 cu: CCU v1: 135 n1: 135 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Corneal Reflex R/L t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Intact v2: Intact st: NotStopd id: Cough Reflex t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Daily Wake Up t0: [21:00:00 01/01/2019] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: % st: NotStopd id: Dorsal PedPulse R/L t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd id: Edema Location/Amt#2 t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Education Barrier t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Response t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Follows Commands t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GI Intub #1/Site t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#4 Type/Site t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: LL Strength/Movement t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUE Temp/Color t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Orientation t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: PAP S/D t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: PCWP t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Pain Location t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#3 Dsg Change t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: Pressure Sore Site#1 t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUE Temp/Color t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: Augmented Diastole t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Reason For Restraint t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Responds to Stimuli t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: BAEDP t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: Side Rails t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Color t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: SpO2 t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: % st: NotStopd id: Arterial BP #2 t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Tubing Change t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Temp. Site t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Back Care t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [21:00:00 01/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [22:00:00 01/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [21:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Carrier t0: [22:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [22:00:00 01/01/2019] el: 1 ai: 111 cg: RN cu: CCU vo: 60 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [12:00:00 01/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: D5W 100.0ml + 100mghr Lasix t0: [20:00:00 01/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 36 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [22:00:00 01/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 01/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 01/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [21:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [21:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [21:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 01/01/2019] el: 2 cg: RN cu: CCU cv: 60 ac: 24 ap: none re: 0
pi: 4383755 hi: 19952 t0: [23:00:00 01/01/2019] tf: [22:00:00 02/01/2019] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Fingerstick Glucose t0: [22:00:00 01/01/2019] el: 0 cg: CoWker cu: CCU v1: 146 n1: 146 rs: Manual st: NotStopd
id: Service Type t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Ectopy Frequency t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: ImpSkin Character #1 t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: PAP Mean t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: PAP S/D t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: PresSoreStage/Heal#1 t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Through Dermis st: NotStopd id: Assisted Systole t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: PressSoreTreatment#1 t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: PressSoreWoundBase#1 t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Black st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Respiratory Rate t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Skin Integrity t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Arterial BP #2 t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: calprevflg t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Urine Out Foley t0: [22:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 260 vu: ml
id: Fentanyl t0: [22:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [22:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [22:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: PAP Mean t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: PAP S/D t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Respiratory Rate t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: SpO2 t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: % st: NotStopd id: Arterial BP #2 t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: calprevflg t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [23:00:00 01/01/2019] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [23:00:00 01/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [23:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [23:00:00 01/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 01/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 130 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 01/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [23:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [23:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [23:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: GI Intub #1/Site t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: LLE Temp/Color t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: Angio Appearance #1 t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Dressing #1 t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Thrush st: NotStopd id: Angio Site #1 t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP S/D t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: Augmented Diastole t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Respiratory Pattern t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: SpO2 t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: % st: NotStopd id: Arterial BP #2 t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Temp. Site t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Urine Source t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [00:00:00 02/01/2019] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [00:00:00 02/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [00:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [00:00:00 02/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 02/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [00:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [00:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [00:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 29.4118 n1: 29.4118 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 1:2.6 st: NotStopd id: Airway Size t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 6.5 n1: 6.5 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 0.6 n1: 0.6 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 480 n1: 480 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Total PEEP Level t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 5.6 n1: 5.6 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: PAP Mean t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP S/D t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: PCWP t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Precautions t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Respiratory Rate t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: SpO2 t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Systolic Unloading t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: % st: NotStopd id: Arterial BP #2 t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: calprevflg t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [01:00:00 02/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [01:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [01:00:00 02/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 02/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [01:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [01:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [01:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Lactic Acid t0: [00:58:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Ionized Calcium t0: [00:58:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.11 n1: 1.11 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [00:58:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Mixed Venous O2 t0: [00:58:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: no data rs: Final st: NotStopd
pi: 4384172 hi: 19952 t0: [02:00:00 02/01/2019] tf: [20:00:00 03/01/2019] mn: Furosemide pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label
id: Cardiac Index t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 2.22826 n1: 2.22826 u1: ... st: NotStopd id: SVR t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 975.61 n1: 975.61 u1: ... st: NotStopd id: SVRI t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1793.72 n1: 1793.72 u1: ... st: NotStopd id: Hemoglobin t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10.5 n1: 10.5 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 rs: Manual st: NotStopd id: C.O. (fick) t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 4.08671 n1: 4.08671 u1: L/min st: NotStopd
id: Service Type t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Ectopy Frequency t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP S/D t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Respiratory Rate t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: SpO2 t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Systolic Unloading t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: % st: NotStopd id: Arterial BP #2 t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: calprevflg t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [02:00:00 02/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [02:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [02:00:00 02/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 02/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [01:30:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [01:30:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [01:30:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [01:30:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Diastolic Unloading t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: Ectopy Frequency t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: IABP Mean t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: IABP setting t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [01:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [20:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [22:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [23:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP Mean t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg st: NotStopd id: PAP S/D t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: PAP S/D t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Assisted Systole t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Augmented Diastole t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Respiratory Rate t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: BAEDP t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg st: NotStopd id: SpO2 t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Systolic Unloading t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: % st: NotStopd id: Systolic Unloading t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: % st: NotStopd id: Arterial BP #2 t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: calprevflg t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [02:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [03:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [02:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Lasix t0: [03:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [02:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Argatroban t0: [03:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Corneal Reflex R/L t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Intact v2: Intact st: NotStopd id: Cough Reflex t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Daily Wake Up t0: [00:00:00 02/01/2019] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: Diet Type t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Edema Location/Amt#1 t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd id: Edema Location/Amt#2 t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Education Topic #1 t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Care t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: Eye Opening t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GCS Total t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Gag Reflex t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: Impaired Skin Site#1 t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: KneeImmobilizer/Loc t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: KneeImmobilizer/Loc t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: On v2: Left Knee st: NotStopd id: LL Strength/Movement t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LU Strength/Movement t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUE Temp/Color t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Location t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position Change t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: PresSoreStage/Heal#1 t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Through Dermis st: NotStopd id: PressSoreTreatment#1 t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#3 Dsg Change t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: PressSoreWoundBase#1 t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Black st: NotStopd id: Pressure Sore Site#1 t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: Pupil Response R/L t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: ROM t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Passive v2: Both Arms st: NotStopd id: ROM t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: Passive v2: Both Arms st: NotStopd id: RU Strength/Movement t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUE Temp/Color t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Reason For Restraint t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Responds to Stimuli t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Color t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: INV#1 Tubing Change t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Tubing Change t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Therapeutic Bed t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Verbal Response t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [21:00:00 01/01/2019] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [01:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [03:00:00 02/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [03:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [03:00:00 02/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 02/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Compliance (40-60ml) t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: Hemodyn Instabil st: NotStopd id: ETT Mark/Location t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 1:2.6 st: NotStopd id: Airway Size t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 6.2 n1: 6.2 u1: L/min st: NotStopd id: PEEP Set t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 1 n1: 1 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 460 n1: 460 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Total PEEP Level t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:10:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 02/01/2019] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Diet Type t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd id: Edema Location/Amt#2 t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: GI Intub #1/Site t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: IABP setting t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Abdominal Assessment t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: LLL Lung Sounds t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: LUL Lung Sounds t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: Oral Cavity t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Angio Site #1 t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: PAP S/D t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Position t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Precautions t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: Augmented Diastole t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Reason For Restraint t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: Side Rails t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: % st: NotStopd id: Arterial BP #2 t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Temp. Site t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Urine Source t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [04:00:00 02/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [04:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [04:00:00 02/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 02/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 110 vu: ml id: Gastric Oral Gastric t0: [00:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 5 vu: ml id: Gastric Oral Gastric t0: [04:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Oral Gastric t0: [20:00:00 01/01/2019] el: 1 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [04:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [04:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [04:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Gastric Out Total t0: [23:00:00 01/01/2019] el: 2 cg: RN cu: CCU cv: 15 ac: 24 ap: none re: 0 id: Gastric Out Total t0: [23:00:00 02/01/2019] el: 2 cg: RN cu: CCU cv: 15 ac: 24 ap: none re: 0
id: Service Type t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [02:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [03:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Corneal Reflex R/L t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Intact v2: Intact st: NotStopd id: Cough Reflex t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Risk for Falls t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: % st: NotStopd id: Ectopy Frequency t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Eye Care t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Care t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: Gag Reflex t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: IABP setting t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1InsertDate t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#2 Type/Site t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#3 Type/Site t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#4 Type/Site t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: Activity t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: LL Strength/Movement t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg st: NotStopd id: PAP S/D t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Position t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: PresSoreStage/Heal#1 t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Through Dermis st: NotStopd id: Assisted Systole t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: PressSoreTreatment#1 t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#3 Dsg Change t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: PressSoreWoundBase#1 t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Black st: NotStopd id: PressureReduceDevice t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: Augmented Diastole t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Respiratory Rate t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Responds to Stimuli t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: BAEDP t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Skin Care t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Color t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Systolic Unloading t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: % st: NotStopd id: Arterial BP #2 t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Tubing Change t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Therapeutic Bed t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Verbal Response t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [05:00:00 02/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [05:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [05:00:00 02/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 02/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [05:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [05:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [05:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [05:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [05:24:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:24:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:24:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 37 n1: 37 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:24:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:24:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 92 n1: 92 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:24:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: Ionized Calcium t0: [05:24:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.03 n1: 1.03 rs: Final st: NotStopd id: SaO2 t0: [05:24:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: WBC (4-11,000) t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 9.1 n1: 9.1 rs: Final st: NotStopd id: CaO2 t0: [05:24:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 12.1201 n1: 12.1201 u1: ml/dl st: NotStopd id: WBC t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 9.1 n1: 9.1 rs: Final st: NotStopd id: Hematocrit t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 25.5 n1: 25.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 9.2 n1: 9.2 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 117 n1: 117 rs: Final st: NotStopd id: RBC t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.98 n1: 2.98 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 9.1 n1: 9.1 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Cardiac Index t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 2.17391 n1: 2.17391 u1: ... st: NotStopd id: Code Status t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: DO2I t0: [05:24:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 260.4 n1: 260.4 u1: ml/m/m st: NotStopd id: Risk for Falls t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: % st: NotStopd id: Ectopy Frequency t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: IABP setting t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: PAP S/D t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: PCWP t0: [04:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Respiratory Rate t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SVR t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1360 n1: 1360 u1: ... st: NotStopd id: SVRI t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 2506.91 n1: 2506.91 u1: ... st: NotStopd id: BAEDP t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: Systolic Unloading t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: % st: NotStopd id: Arterial BP #2 t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: calprevflg t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Mixed Venous O2% Sat t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 rs: Manual st: NotStopd id: SaO2 t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [05:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 3.98703 n1: 3.98703 u1: L/min st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [06:00:00 02/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 9.45 vu: ml id: Carrier t0: [06:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [06:00:00 02/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 02/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [06:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [06:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [06:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.25 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: BUN t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 19 n1: 19 rs: Final st: NotStopd id: Calcium t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 9.2 n1: 9.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 95 n1: 95 rs: Final st: NotStopd id: Creatinine t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 183 n1: 183 rs: Final st: NotStopd id: Magnesium t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd id: BUN (6-20) t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 19 n1: 19 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 9.2 n1: 9.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 95 n1: 95 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 183 n1: 183 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd
id: PT t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 23.2 n1: 23.2 rs: Final st: NotStopd id: INR t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: PTT t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 57.7 n1: 57.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 23.2 n1: 23.2 rs: Final st: NotStopd id: PTT(22-35) t0: [05:10:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 57.7 n1: 57.7 rs: Final st: NotStopd
pi: 4384742 hi: 19952 t0: [08:00:00 02/01/2019] tf: [18:00:00 19/01/2019] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ASDIR di: Ongoing xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 31.25 n1: 31.25 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 1:2.6 st: NotStopd id: Airway Size t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Pressure Support t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 2500 n1: 2500 st: NotStopd id: Ve High t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 529 n1: 529 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Code Status t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: IABP setting t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg st: NotStopd id: PAP S/D t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Augmented Diastole t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Radiologic Study t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: Systolic Unloading t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Arterial BP #2 t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Temp. Site t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [08:00:00 02/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 18.9 vu: ml id: Carrier t0: [08:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [08:00:00 02/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 02/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [08:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 180 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [08:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [08:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [08:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
pi: 4385017 hi: 19952 t0: [20:00:00 02/01/2019] tf: [07:00:00 11/01/2019] mn: Senna pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4385018 hi: 19952 t0: [16:00:00 02/01/2019] tf: [15:00:00 04/01/2019] mn: Lactulose pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4385023 hi: 19952 t0: [10:00:00 02/01/2019] tf: [21:00:00 10/01/2019] mn: DOBUTamine pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Alarms t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Abdominal Assessment t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: LL Strength/Movement t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUE Temp/Color t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #2 t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position Change t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUE Temp/Color t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Urine Color/Appear t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [06:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
pi: 4385091 hi: 19952 t0: [16:00:00 02/01/2019] tf: [10:00:00 06/01/2019] mn: Naloxone HCl pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: CVP t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: IABP setting t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: PAP S/D t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Augmented Diastole t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Respiratory Rate t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: SpO2 t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Arterial BP #2 t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: calprevflg t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [10:00:00 02/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 21 vu: ml id: Carrier t0: [10:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [10:00:00 02/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 02/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [10:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [10:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [10:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Dobutamine t0: [10:00:00 02/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Cardiac Index t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 2.06522 n1: 2.06522 u1: ... st: NotStopd id: SVR t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1284.21 n1: 1284.21 u1: ... st: NotStopd id: SVRI t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 2357.49 n1: 2357.49 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 51 n1: 51 rs: Manual st: NotStopd id: C.O. (fick) t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 3.80749 n1: 3.80749 u1: L/min st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Daily Wake Up t0: [08:00:00 02/01/2019] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: Alarms t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Position Change t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [10:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Lasix t0: [10:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Blood Products t0: [10:46:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: Y rs: Final st: NotStopd
id: CVP t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Ectopy Frequency t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: IABP setting t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: PAP S/D t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Assisted Systole t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Augmented Diastole t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg st: NotStopd id: Respiratory Rate t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: SpO2 t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Arterial BP #2 t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: calprevflg t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [11:00:00 02/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 10.5 vu: ml id: Carrier t0: [11:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [11:00:00 02/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 02/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 160 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Glucose t0: [11:21:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 117 n1: 117 rs: Final st: NotStopd id: Glucose (70-105) t0: [11:21:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 117 n1: 117 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 31.25 n1: 31.25 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 1:2.6 st: NotStopd id: Airway Size t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 7.5 n1: 7.5 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Pressure Support t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 2500 n1: 2500 st: NotStopd id: Ve High t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 540 n1: 540 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Cardiac Index t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 2.6087 n1: 2.6087 u1: ... st: NotStopd id: SVR t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 983.333 n1: 983.333 u1: ... st: NotStopd id: SVRI t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1808.43 n1: 1808.43 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 rs: Manual st: NotStopd id: C.O. (fick) t0: [11:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 4.78377 n1: 4.78377 u1: L/min st: NotStopd
id: Diastolic Unloading t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: IABP setting t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Assisted Systole t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg st: NotStopd id: Respiratory Rate t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Systolic Unloading t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: % st: NotStopd id: Arterial BP #2 t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Temp. Site t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: calprevflg t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [12:00:00 02/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 10.5 vu: ml id: Carrier t0: [12:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [12:00:00 02/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 02/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 240 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Less Restrict Meas. t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Oral Care t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PAP Mean t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: PAP S/D t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Position Change t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: IABP setting t0: [12:15:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd
id: Pain Present t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Code Status t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Eye Opening t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: GU Cath Insert Date t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Abdominal Assessment t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LU Strength/Movement t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUE Temp/Color t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #2 t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: RL Strength/Movement t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RU Strength/Movement t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUE Temp/Color t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Respiratory Pattern t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Seizure Activity t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Spontaneous Movement t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: TF Residual t0: [12:00:00 02/01/2019] el: 1 ai: 304 cg: RN cu: CCU vo: 50 vu: ml id: Gastric Meds t0: [12:00:00 02/01/2019] el: 1 ai: 111 cg: RN cu: CCU vo: 40 vu: ml
id: Fentanyl t0: [11:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [11:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Lasix t0: [12:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [11:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Argatroban t0: [12:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [11:00:00 02/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [12:00:00 02/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: CVP t0: [13:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Diastolic Unloading t0: [13:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Ectopy Frequency t0: [13:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [13:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [13:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: IABP setting t0: [13:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: PAP Mean t0: [13:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: PAP S/D t0: [13:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Assisted Systole t0: [13:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Augmented Diastole t0: [13:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg st: NotStopd id: Respiratory Rate t0: [13:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: BAEDP t0: [13:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: SpO2 t0: [13:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [13:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Arterial BP #2 t0: [13:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [13:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: calprevflg t0: [13:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [13:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [13:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [13:00:00 02/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [12:00:00 02/01/2019] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [13:00:00 02/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 10.5 vu: ml nb: 1 id: Carrier t0: [13:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [13:00:00 02/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 02/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 220 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Packed RBC's t0: [13:30:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vu: ml uu: Units nb: 1
id: CVP t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Diastolic Unloading t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Ectopy Frequency t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: IABP setting t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: PAP Mean t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: PAP S/D t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Assisted Systole t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Augmented Diastole t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Respiratory Rate t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: SpO2 t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Arterial BP #2 t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: calprevflg t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [14:00:00 02/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 10.5 vu: ml id: Carrier t0: [14:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [14:00:00 02/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 02/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Art.pH t0: [14:28:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: Lactic Acid t0: [14:28:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:28:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 12 n1: 12 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:28:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 39 n1: 39 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:28:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 48 n1: 48 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:28:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 125 n1: 125 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:28:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [14:28:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: SaO2 t0: [14:28:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Fentanyl t0: [14:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [14:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [14:00:00 02/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Cardiac Index t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 2.5 n1: 2.5 u1: ... st: NotStopd id: Circulation/SkinInt t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Alarms t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1 Type/Site t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1InsertDate t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Position Change t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#1 Dsg Change t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#3 Dsg Change t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: SVR t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 678.261 n1: 678.261 u1: ... st: NotStopd id: SVRI t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1248 n1: 1248 u1: ... st: NotStopd id: Side Rails t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: INV#1 Tubing Change t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Tubing Change t0: [09:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Pt./Family Informed t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Mixed Venous O2% Sat t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 57 n1: 57 rs: Manual st: NotStopd id: C.O. (fick) t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 4.55042 n1: 4.55042 u1: L/min st: NotStopd
id: WBC (4-11,000) t0: [14:04:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 9.2 n1: 9.2 rs: Final st: NotStopd id: CaO2 t0: [14:28:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 12.0857 n1: 12.0857 u1: ml/dl st: NotStopd id: DO2I t0: [14:28:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 300 n1: 300 u1: ml/m/m st: NotStopd id: WBC t0: [14:04:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 9.2 n1: 9.2 rs: Final st: NotStopd id: Hematocrit t0: [14:04:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 25.9 n1: 25.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [14:04:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 9 n1: 9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [14:04:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd id: RBC t0: [14:04:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.99 n1: 2.99 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [14:04:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 9.2 n1: 9.2 rs: Final st: NotStopd
id: Code Status t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [15:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [15:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [15:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [15:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: IABP setting t0: [15:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: PAP Mean t0: [15:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg st: NotStopd id: PAP S/D t0: [15:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [15:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Augmented Diastole t0: [15:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg st: NotStopd id: Respiratory Rate t0: [15:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [15:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: SpO2 t0: [15:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [15:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Arterial BP #2 t0: [15:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [15:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Temp. Site t0: [15:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [15:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [15:00:00 02/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 10.5 vu: ml id: Carrier t0: [15:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [15:00:00 02/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 02/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [15:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [15:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [15:00:00 02/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [14:04:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd id: Chloride t0: [14:04:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 95 n1: 95 rs: Final st: NotStopd id: Creatinine t0: [14:04:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [14:04:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 119 n1: 119 rs: Final st: NotStopd id: Magnesium t0: [14:04:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Potassium t0: [14:04:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium t0: [14:04:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd id: BUN (6-20) t0: [14:04:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd id: Carbon Dioxide t0: [14:04:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Chloride (100-112) t0: [14:04:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 95 n1: 95 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [14:04:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [14:04:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 119 n1: 119 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [14:04:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [14:04:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [14:04:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd
id: CVP t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Cardiac Index t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 2.6087 n1: 2.6087 u1: ... st: NotStopd id: Ectopy Frequency t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP setting t0: [16:30:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1:4 st: NotStopd id: PAP Mean t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: PAP S/D t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Respiratory Rate t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SVR t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 966.667 n1: 966.667 u1: ... st: NotStopd id: SVRI t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1777.78 n1: 1777.78 u1: ... st: NotStopd id: SpO2 t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Arterial BP #2 t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: calprevflg t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Mixed Venous O2% Sat t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 58 n1: 58 rs: Manual st: NotStopd id: C.O. (fick) t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 4.76783 n1: 4.76783 u1: L/min st: NotStopd
id: Compliance (40-60ml) t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 29.4118 n1: 29.4118 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 1:2.6 st: NotStopd id: Airway Size t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 6.9 n1: 6.9 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Pressure Support t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 2500 n1: 2500 st: NotStopd id: Ve High t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 530 n1: 530 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Sputum Color/Consist t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 02/01/2019] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Scant st: NotStopd
id: Service Type t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Diastolic Unloading t0: [17:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Ectopy Frequency t0: [17:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [17:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: IABP setting t0: [17:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1:4 st: NotStopd id: PAP Mean t0: [17:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: PAP S/D t0: [17:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Assisted Systole t0: [17:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [17:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg st: NotStopd id: Respiratory Rate t0: [17:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [17:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: SpO2 t0: [17:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [17:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: Arterial BP #2 t0: [17:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [17:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: calprevflg t0: [17:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [17:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [13:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 8 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Lasix t0: [14:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 8 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Lasix t0: [15:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 8 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [17:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [17:00:00 02/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd id: Edema Location/Amt#2 t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 4 mm st: NotStopd id: Education Barrier t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: Follows Commands t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: HOB t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#4 Type/Site t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: Abdominal Assessment t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: LL Strength/Movement t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #2 t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position Change t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: PressureReduceDevice t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: PressureReduceDevice t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: RL Strength/Movement t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Seizure Activity t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Tubing Change t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Therapeutic Bed t0: [08:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [12:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [16:00:00 02/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 10.5 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [17:00:00 02/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 10.5 vu: ml id: Carrier t0: [16:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Carrier t0: [17:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Packed RBC's t0: [16:30:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 350 vu: ml uu: Units id: Gastric Meds t0: [16:00:00 02/01/2019] el: 1 ai: 111 cg: RN cu: CCU vo: 40 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [16:00:00 02/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 8 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [17:00:00 02/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 02/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 02/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Lasix t0: [17:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Blood Products Total t0: [23:00:00 02/01/2019] el: 2 cg: RN cu: CCU cv: 350 ac: 24 ap: none re: 0
pi: 4386862 hi: 19952 t0: [19:00:00 02/01/2019] tf: [18:00:00 19/01/2019] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: 2X dn: 0 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: CVP t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Diastolic Unloading t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Ectopy Frequency t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: IABP setting t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1:4 st: NotStopd id: PAP Mean t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP S/D t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assisted Systole t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Augmented Diastole t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg st: NotStopd id: Reason For Restraint t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: Side Rails t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Systolic Unloading t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: Arterial BP #2 t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: calprevflg t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [18:00:00 02/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 10.5 vu: ml id: Carrier t0: [18:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [18:00:00 02/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 02/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [18:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [18:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [18:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [18:00:00 02/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Glucose t0: [17:00:00 02/01/2019] el: 0 cg: CoWker cu: CCU v1: 134 n1: 134 rs: Manual st: NotStopd id: Glucose (70-105) t0: [17:00:00 02/01/2019] el: 0 cg: CoWker cu: CCU v1: 134 n1: 134 rs: Manual st: NotStopd
id: Glucose t0: [18:19:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 111 n1: 111 rs: Final st: NotStopd id: Glucose (70-105) t0: [18:19:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 111 n1: 111 rs: Final st: NotStopd
id: Cardiac Index t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 2.82609 n1: 2.82609 u1: ... st: NotStopd id: SVR t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 861.538 n1: 861.538 u1: ... st: NotStopd id: SVRI t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1583.04 n1: 1583.04 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 rs: Manual st: NotStopd id: C.O. (fick) t0: [18:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 5.15441 n1: 5.15441 u1: L/min st: NotStopd
id: BSA t0: [18:50:00 02/01/2019] el: 1033 cg: -1 cu: CCU v1: 1.83525 n1: 1.83525 u1: m2 id: Admit Wt t0: [18:50:00 02/01/2019] el: 1032 cg: -1 cu: CCU v1: 70 n1: 70 u1: kg id: Allergy 1 t0: [18:50:00 02/01/2019] el: 1020 cg: -1 cu: CCU v1: No Known Drug Allergies id: Diagnosis/op t0: [18:50:00 02/01/2019] el: 1023 cg: -1 cu: CCU v1: CORONARY ARTERY DISEASE id: Service t0: [18:50:00 02/01/2019] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [18:50:00 02/01/2019] el: 1034 cg: -1 cu: CCU v1: 67 n1: 67 u1: inches id: Readmission t0: [18:50:00 02/01/2019] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [18:50:00 02/01/2019] el: 1006 cg: -1 cu: CCU v1: M id: Religion t0: [18:50:00 02/01/2019] el: 1000 cg: -1 cu: CCU v1: RCA id: Allergy 2 t0: [18:50:00 02/01/2019] el: 1021 cg: -1 cu: CCU id: Ext t0: [18:50:00 02/01/2019] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [18:50:00 02/01/2019] el: 1022 cg: -1 cu: CCU
id: PTT t0: [18:02:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 76.7 n1: 76.7 rs: Final st: NotStopd id: PTT(22-35) t0: [18:02:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 76.7 n1: 76.7 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 29.4118 n1: 29.4118 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 1:2.6 st: NotStopd id: Airway Size t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 6.4 n1: 6.4 u1: L/min st: NotStopd id: PEEP Set t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 1.4 n1: 1.4 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 480 n1: 480 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Total PEEP Level t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 6.4 n1: 6.4 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:15:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Capillary Refill R/L t0: [20:00:00 02/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: Angio Dressing #1 t0: [20:00:00 02/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: Neuro Symptoms t0: [20:00:00 02/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: O2 Delivery Device t0: [20:00:00 02/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: O2 Flow (lpm) t0: [20:00:00 02/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: PVR t0: [20:00:00 02/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: Seizure Activity t0: [20:00:00 02/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: Seizure Duration t0: [20:00:00 02/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: Swan SVO2 t0: [20:00:00 02/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: Temperature C t0: [20:00:00 02/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: C.O.(thermodilution) t0: [20:00:00 02/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4387339 hi: 19952 t0: [21:00:00 02/01/2019] tf: [19:00:00 03/01/2019] mn: AcetaZOLamide pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 21, 9 dn: 2 dt: 4 di: Doses xu: Enter on Label pi: 4387340 hi: 19952 t0: [21:00:00 02/01/2019] tf: [21:00:00 02/01/2019] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Risk for Falls t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Diet Type t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital st: NotStopd id: Edema Location/Amt#2 t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: GI#1 Intub Site t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Eye Opening t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Heart Rate t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: IABP setting t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#4 Type/Site t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: Abdominal Assessment t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: LL Strength/Movement t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #2 t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg st: NotStopd id: PAP S/D t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Reason For Restraint t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: Side Rails t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Systolic Unloading t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Arterial BP #2 t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Tubing Change t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Urine Source t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Bowel Sounds t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: Fentanyl t0: [20:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [20:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [20:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [20:00:00 02/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [20:00:00 02/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 21 vu: ml id: Carrier t0: [20:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [21:00:00 02/01/2019] el: 1 ai: 111 cg: RN cu: CCU vo: 60 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [20:00:00 02/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 24 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 02/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [20:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 225 vu: ml id: Urine Out Foley t0: [21:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Service Type t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: % st: NotStopd id: Ectopy Frequency t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: IABP setting t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Oral Care t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PAP Mean t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP S/D t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: PressureReduceDevice t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Respiratory Rate t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: BAEDP t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: SpO2 t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Arterial BP #2 t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Temp. Site t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: calprevflg t0: [22:00:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [22:00:00 02/01/2019] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [22:00:00 02/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 21 vu: ml id: Carrier t0: [22:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [22:00:00 02/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 24 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 02/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [22:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 145 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 02/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [22:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [22:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [22:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [22:00:00 02/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Glucose t0: [22:00:00 02/01/2019] el: 0 cg: CoWker cu: CCU v1: 139 n1: 139 rs: Manual st: NotStopd id: Glucose (70-105) t0: [22:00:00 02/01/2019] el: 0 cg: CoWker cu: CCU v1: 139 n1: 139 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 29.4118 n1: 29.4118 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 1:2.6 st: NotStopd id: Airway Size t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 6.6 n1: 6.6 u1: L/min st: NotStopd id: PEEP Set t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 1.2 n1: 1.2 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 490 n1: 490 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Total PEEP Level t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: 6.2 n1: 6.2 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [23:00:00 02/01/2019] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Art.pH t0: [23:49:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: CaO2 t0: [23:49:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 12.1167 n1: 12.1167 u1: ml/dl st: NotStopd id: Lactic Acid t0: [23:49:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Arterial Base Excess t0: [23:49:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 11 n1: 11 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:49:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 37 n1: 37 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:49:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:49:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 135 n1: 135 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:49:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: Ionized Calcium t0: [23:49:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.09 n1: 1.09 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [23:49:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: SaO2 t0: [23:49:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Hematocrit t0: [23:25:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 29.6 n1: 29.6 u1: % rs: Final st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Risk for Falls t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Diet Type t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital st: NotStopd id: Edema Location/Amt#2 t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: GI#1 Intub Site t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Eye Opening t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Flatus t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: Follows Commands t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: GU Cath Insert Date t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Heart Rate t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: IABP Mean t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: IABP setting t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#4InsertDate t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: Abdominal Assessment t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: LL Strength/Movement t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #2 t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: PAP S/D t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Reason For Restraint t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: Side Rails t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Systolic Unloading t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: % st: NotStopd id: Arterial BP #2 t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Tubing Change t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: Urine Source t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Bowel Sounds t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: D5W 100.0ml t0: [00:00:00 03/01/2019] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [00:00:00 03/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 21 vu: ml id: Carrier t0: [00:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [00:00:00 03/01/2019] el: 1 ai: 111 cg: RN cu: CCU vo: 60 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [00:00:00 03/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 24 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 03/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [00:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 380 vu: ml id: Urine Out Foley t0: [23:00:00 02/01/2019] el: 1 cg: RN cu: CCU vo: 400 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [00:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [00:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [00:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [00:00:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 02/01/2019] el: 2 cg: RN cu: CCU cv: 1557.55 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 02/01/2019] el: 2 cg: RN cu: CCU cv: 2047.55 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 02/01/2019] el: 2 cg: RN cu: CCU cv: 140 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 03/01/2019] el: 2 cg: RN cu: CCU cv: 310 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 02/01/2019] el: 2 cg: RN cu: CCU pv: 400 cv: 400 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 02/01/2019] el: 2 cg: RN cu: CCU pv: 400 cv: 3020 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 02/01/2019] el: 2 cg: RN cu: CCU pv: -400 cv: -987.45 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 02/01/2019] el: 2 cg: RN cu: CCU pv: -400 cv: 2238.95 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 02/01/2019] el: 2 cg: RN cu: CCU pv: -400 cv: -400 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 02/01/2019] el: 2 cg: RN cu: CCU pv: 400 cv: 3035 ac: 24 ap: none re: 0
id: Cardiac Index t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 3.15217 n1: 3.15217 u1: ... st: NotStopd id: DO2I t0: [23:49:00 02/01/2019] el: 0 cg: RN cu: CCU v1: 378 n1: 378 u1: ml/m/m st: NotStopd id: Hemoglobin t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 9.2 n1: 9.2 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 65 n1: 65 rs: Manual st: NotStopd id: SaO2 t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 5.83022 n1: 5.83022 u1: L/min st: NotStopd
id: BUN t0: [23:25:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 6 n1: 6 rs: Final st: NotStopd id: Chloride t0: [23:25:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 93 n1: 93 rs: Final st: NotStopd id: Creatinine t0: [23:25:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.5 n1: 0.5 rs: Final st: NotStopd id: Glucose t0: [23:25:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 121 n1: 121 rs: Final st: NotStopd id: Magnesium t0: [23:25:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Potassium t0: [23:25:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Sodium t0: [23:25:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd id: BUN (6-20) t0: [23:25:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 6 n1: 6 rs: Final st: NotStopd id: Carbon Dioxide t0: [23:25:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Chloride (100-112) t0: [23:25:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 93 n1: 93 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [23:25:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.5 n1: 0.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [23:25:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 121 n1: 121 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [23:25:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [23:25:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [23:25:00 02/01/2019] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd
pi: 4388120 hi: 19952 t0: [03:00:00 03/01/2019] tf: [02:00:00 04/01/2019] mn: Magnesium Sulfate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 3 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4388122 hi: 19952 t0: [03:00:00 03/01/2019] tf: [02:00:00 04/01/2019] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: 2X dn: 0 dt: 2 di: Doses xv: 36 xu: Hours
id: Service Type t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: IABP setting t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP S/D t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg st: NotStopd id: Respiratory Rate t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: SpO2 t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: % st: NotStopd id: Arterial BP #2 t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Temp. Site t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: calprevflg t0: [02:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [02:00:00 03/01/2019] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [02:00:00 03/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 21 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [02:00:00 03/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 24 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 03/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [01:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 415 vu: ml id: Urine Out Foley t0: [02:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 365 vu: ml id: Urine Out Foley t0: [03:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 305 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [02:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [02:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [02:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [02:00:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: Hemodyn Instabil st: NotStopd id: ETT Mark/Location t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 1:2.6 st: NotStopd id: Airway Size t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 6.5 n1: 6.5 u1: L/min st: NotStopd id: PEEP Set t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 470 n1: 470 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:35:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Art.pH t0: [04:31:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: Circulation/SkinInt t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Risk for Falls t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Diet Type t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital st: NotStopd id: Edema Location/Amt#2 t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 2 mm st: NotStopd id: GI#1 Intub Site t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Eye Opening t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Flatus t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: Follows Commands t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Heart Rate t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: IABP Mean t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: IABP setting t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [05:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1InsertDate t0: [05:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#2 Type/Site t0: [05:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [05:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#3 Type/Site t0: [05:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [05:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#4InsertDate t0: [05:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: Abdominal Assessment t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: LL Strength/Movement t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #2 t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [00:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP S/D t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: PressSoreTreatment#1 t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [05:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [05:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#3 Dsg Change t0: [05:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [05:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Reason For Restraint t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: Side Rails t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Systolic Unloading t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: % st: NotStopd id: Arterial BP #2 t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [05:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [05:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [05:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [05:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Tubing Change t0: [05:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Urine Source t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Arterial Base Excess t0: [04:31:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:31:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:31:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:31:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 134 n1: 134 u1: mmHg rs: Final st: NotStopd id: Behavior t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Arterial pH t0: [04:31:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: Pt./Family Informed t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Bowel Sounds t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: SaO2 t0: [04:31:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: D5W 100.0ml t0: [03:00:00 03/01/2019] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [04:00:00 03/01/2019] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [04:00:00 03/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 21 vu: ml id: Carrier t0: [02:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Carrier t0: [04:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 125 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [04:00:00 03/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 24 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 03/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [04:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 165 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [04:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [04:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [04:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [04:00:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: CaO2 t0: [04:31:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 13.9414 n1: 13.9414 u1: ml/dl st: NotStopd id: WBC t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: Hematocrit t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 29.9 n1: 29.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 10.3 n1: 10.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 165 n1: 165 rs: Final st: NotStopd id: RBC t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.44 n1: 3.44 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.3 n1: 7.3 rs: Final st: NotStopd
pi: 4388405 hi: 19952 t0: [06:00:00 03/01/2019] tf: [05:00:00 04/01/2019] mn: Sodium Phosphate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4388406 hi: 19952 t0: [06:00:00 03/01/2019] tf: [05:00:00 04/01/2019] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Cardiac Index t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 2.6087 n1: 2.6087 u1: ... st: NotStopd id: DO2I t0: [04:31:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 365.4 n1: 365.4 u1: ml/m/m st: NotStopd id: Hemoglobin t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10.3 n1: 10.3 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 63 n1: 63 rs: Manual st: NotStopd id: SaO2 t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [04:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 4.76121 n1: 4.76121 u1: L/min st: NotStopd
id: D5W 100.0ml t0: [05:00:00 03/01/2019] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: Carrier t0: [05:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 125 vu: ml id: Urine Out Foley t0: [05:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: BUN t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 18 n1: 18 rs: Final st: NotStopd id: Chloride t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 93 n1: 93 rs: Final st: NotStopd id: Creatinine t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.3 n1: 0.3 rs: Final st: NotStopd id: Glucose t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 74 n1: 74 rs: Final st: NotStopd id: Magnesium t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 135 n1: 135 rs: Final st: NotStopd id: BUN (6-20) t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 18 n1: 18 rs: Final st: NotStopd id: Carbon Dioxide t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 93 n1: 93 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.3 n1: 0.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 74 n1: 74 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 135 n1: 135 rs: Final st: NotStopd
id: PT t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: INR t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: PTT t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 64.5 n1: 64.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: PTT(22-35) t0: [04:06:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 64.5 n1: 64.5 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Ectopy Frequency t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: IABP setting t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: PAP Mean t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg st: NotStopd id: PAP S/D t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg st: NotStopd id: Respiratory Rate t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: SpO2 t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: Arterial BP #2 t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Temp. Site t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: calprevflg t0: [06:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [06:00:00 03/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 21 vu: ml id: Carrier t0: [06:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 75 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [06:00:00 03/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 24 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 03/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [06:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 325 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [06:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [06:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [06:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [06:00:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: IABP setting t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: PAP Mean t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: PAP S/D t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg st: NotStopd id: Respiratory Rate t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: SpO2 t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: % st: NotStopd id: Arterial BP #2 t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: calprevflg t0: [07:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [07:00:00 03/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 10.5 vu: ml id: Carrier t0: [07:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [07:00:00 03/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 03/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [07:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 300 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [07:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [07:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [07:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [07:00:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 1:2.6 st: NotStopd id: Airway Size t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 6.8 n1: 6.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Pressure Support t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 2500 n1: 2500 st: NotStopd id: Ve High t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: Tan v2: Thin st: NotStopd id: Sputum Source/Amt t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 520 n1: 520 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Glucose t0: [08:14:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Potassium t0: [08:14:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [08:14:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Hematocrit t0: [08:14:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 u1: % rs: Final st: NotStopd id: Ionized Calcium t0: [08:14:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.07 n1: 1.07 rs: Final st: NotStopd id: Mixed Venous O2 t0: [08:14:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: no data rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [08:14:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 03/01/2019] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: % st: NotStopd id: Diet Type t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital st: NotStopd id: Edema Location/Amt#2 t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 2 mm st: NotStopd id: GI#1 Intub Site t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Eye Opening t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clamped v2: Brown st: NotStopd id: GU Cath Insert Date t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Heart Rate t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: IABP Mean t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: IABP setting t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Abdominal Assessment t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: LL Strength/Movement t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #2 t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg st: NotStopd id: PAP S/D t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: PressSoreTreatment#1 t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg st: NotStopd id: Reason For Restraint t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: Side Rails t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Spontaneous Movement t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Systolic Unloading t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Arterial BP #2 t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Temp. Site t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Bowel Sounds t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [08:00:00 03/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 10.5 vu: ml id: Carrier t0: [08:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [08:00:00 03/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 03/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [08:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 220 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [08:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [08:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [08:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [08:00:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: % st: NotStopd id: Ectopy Frequency t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: HOB t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: IABP setting t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#4InsertDate t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: Activity t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: KneeImmobilizer/Loc t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: On st: NotStopd id: LLE Temp/Color t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUE Temp/Color t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Oral Care t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PAP Mean t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: PAP S/D t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Position t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: PressureReduceDevice t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUE Temp/Color t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Augmented Diastole t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg st: NotStopd id: Radial Pulse R/L t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU st: NotStopd id: Respiratory Rate t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: SpO2 t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: % st: NotStopd id: Arterial BP #2 t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Tubing Change t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Therapeutic Bed t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: calprevflg t0: [09:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [09:00:00 03/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 10.5 vu: ml id: Carrier t0: [09:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [09:00:00 03/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 03/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [09:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [09:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [09:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [09:00:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Cardiac Index t0: [08:10:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 2.6087 n1: 2.6087 u1: ... st: NotStopd id: SVR t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 850 n1: 850 u1: ... st: NotStopd id: SVRI t0: [08:10:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1563.22 n1: 1563.22 u1: ... st: NotStopd id: Hemoglobin t0: [08:10:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10.8 n1: 10.8 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [08:10:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 64 n1: 64 rs: Manual st: NotStopd id: C.O. (fick) t0: [08:10:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 4.81599 n1: 4.81599 u1: L/min st: NotStopd
pi: 4388902 hi: 19952 t0: [16:00:00 03/01/2019] tf: [19:00:00 03/01/2019] mn: Neutra-Phos pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 16, 22 dn: 3 dt: 3 di: Days xv: 36 xu: Hours pi: 4388903 hi: 19952 t0: [11:00:00 03/01/2019] tf: [14:00:00 03/01/2019] mn: Heparin pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: ONCE ds: 11 it: N ss: Y dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4388904 hi: 19952 t0: [11:00:00 03/01/2019] tf: [14:00:00 03/01/2019] mn: Heparin pt: IV Piggyback st: Discontinued rt: IV fr: ASDIR it: N ss: Y di: Ongoing xv: 36 xu: Hours pi: 4388905 hi: 19952 t0: [11:00:00 03/01/2019] tf: [10:00:00 04/01/2019] mn: Calcium Gluconate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: % st: NotStopd id: Ectopy Frequency t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Edema Location/Amt#1 t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital st: NotStopd id: Edema Location/Amt#2 t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 2 mm st: NotStopd id: Health Care Proxy t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: IABP setting t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: PAP Mean t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: PAP S/D t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Pressure Sore Site#1 t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg st: NotStopd id: Reason For Restraint t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: Side Rails t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Arterial BP #2 t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Temp. Site t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: calprevflg t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd
id: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban t0: [10:00:00 03/01/2019] el: 1 ai: 1109 cg: RN cu: CCU vo: 10.5 vu: ml id: Carrier t0: [10:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [10:00:00 03/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 03/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [10:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [10:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Argatroban t0: [10:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [10:00:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 38.4615 n1: 38.4615 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 1:2.6 st: NotStopd id: Airway Size t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 6.9 n1: 6.9 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Pressure Support t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 2500 n1: 2500 st: NotStopd id: Ve High t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 596 n1: 596 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: % st: NotStopd id: Ectopy Frequency t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: IABP Mean t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: IABP setting t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: PAP S/D t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Assisted Systole t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Augmented Diastole t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Respiratory Rate t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: BAEDP t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: SpO2 t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Arterial BP #2 t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: calprevflg t0: [11:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Carrier t0: [11:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [11:00:00 03/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 03/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 300 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [11:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [11:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [11:00:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Alarms t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: PAP Mean t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: mmHg st: NotStopd id: PAP S/D t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Systolic Unloading t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Arterial BP #2 t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Temp. Site t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd
id: Carrier t0: [12:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [12:00:00 03/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 03/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [12:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [12:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [12:00:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Circulation/SkinInt t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Corneal Reflex R/L t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Intact v2: Intact st: NotStopd id: Cough Reflex t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Diet Type t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clamped v2: Clear st: NotStopd id: GU Cath Insert Date t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: HOB t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Height of Bed t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Abdominal Assessment t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: KneeImmobilizer/Loc t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: On st: NotStopd id: KneeImmobilizer/Loc t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: On st: NotStopd id: LL Strength/Movement t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUE Temp/Color t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #2 t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: Pupil Response R/L t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUE Temp/Color t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Spontaneous Movement t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Therapeutic Bed t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Bowel Sounds t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Carrier t0: [13:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [13:00:00 03/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 03/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Glucose t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 126 n1: 126 rs: Manual st: NotStopd id: Glucose (70-105) t0: [12:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 126 n1: 126 rs: Manual st: NotStopd
pi: 4389494 hi: 19952 t0: [14:00:00 03/01/2019] tf: [13:00:00 04/01/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Ectopy Frequency t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: IABP setting t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Respiratory Rate t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: SpO2 t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: % st: NotStopd id: Arterial BP #2 t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: Temp. Site t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: calprevflg t0: [13:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [13:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 160 vu: ml
id: Fentanyl t0: [13:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [13:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 12 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [13:00:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Ectopy Frequency t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: IABP setting t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: PAP S/D t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Respiratory Rate t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: SpO2 t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: % st: NotStopd id: Arterial BP #2 t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Temp. Site t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: calprevflg t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [13:00:00 03/01/2019] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 500 vu: ml
id: Fentanyl t0: [14:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [14:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [14:00:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4389791 hi: 19952 t0: [15:00:00 03/01/2019] tf: [21:00:00 03/01/2019] mn: Heparin pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: ASDIR it: C ss: Y di: Ongoing xv: 36 xu: Hours
id: Urine Out Foley t0: [14:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Less Restrict Meas. t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital st: NotStopd id: Edema Location/Amt#2 t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 2 mm st: NotStopd id: HOB t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Activity t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Position Change t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Pressure Sore Site#1 t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: Reason For Restraint t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Therapeutic Bed t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Pt./Family Informed t0: [14:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd
id: INV Line#1 Zero/Cal t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Zero/Cal t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4SiteAppear t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [08:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd
id: Hematocrit t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 27.4 n1: 27.4 u1: % rs: Final st: NotStopd
id: BUN t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 95 n1: 95 rs: Final st: NotStopd id: Creatinine t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 127 n1: 127 rs: Final st: NotStopd id: Magnesium t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Potassium t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 134 n1: 134 rs: Final st: NotStopd id: BUN (6-20) t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Chloride (100-112) t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 95 n1: 95 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 127 n1: 127 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 134 n1: 134 rs: Final st: NotStopd
id: Service Type t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: % st: NotStopd id: Ectopy Frequency t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: IABP setting t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: PAP S/D t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Respiratory Rate t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: BAEDP t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: SpO2 t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: % st: NotStopd id: Arterial BP #2 t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Temp. Site t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Carrier t0: [15:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [15:00:00 03/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 03/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [15:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [15:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [15:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [15:00:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Phosphorous t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 6.8 n1: 6.8 u1: mEq/L rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 6.8 n1: 6.8 u1: mEq/L rs: Final st: NotStopd
id: PT t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 18.9 n1: 18.9 rs: Final st: NotStopd id: INR t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: PTT t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 43.6 n1: 43.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: PT(11-13.5) t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 18.9 n1: 18.9 rs: Final st: NotStopd id: PTT(22-35) t0: [14:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 43.6 n1: 43.6 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Corneal Reflex R/L t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Intact v2: Intact st: NotStopd id: Cough Reflex t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Daily Wake Up t0: [16:00:00 03/01/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital st: NotStopd id: Edema Location/Amt#2 t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 2 mm st: NotStopd id: GI#1 Intub Site t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Eye Opening t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clamped v2: Clear st: NotStopd id: GU Cath Insert Date t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: IABP Mean t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: IABP setting t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: INV Line#4InsertDate t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: Abdominal Assessment t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: LL Strength/Movement t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUE Temp/Color t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #2 t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP S/D t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Position Change t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Dsg Change t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUE Temp/Color t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Augmented Diastole t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Reason For Restraint t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Side Rails t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Arterial BP #2 t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: INV#4 Tubing Change t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Therapeutic Bed t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Bowel Sounds t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Carrier t0: [16:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [16:00:00 03/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 03/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [16:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 43 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: Lasix t0: [16:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Dobutamine t0: [16:00:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 03/01/2019] el: 2 cg: RN cu: CCU pv: 28.5 cv: 2426.62 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 03/01/2019] el: 2 cg: RN cu: CCU pv: 28.5 cv: 2736.62 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 03/01/2019] el: 2 cg: RN cu: CCU pv: 38 cv: 38 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 03/01/2019] el: 2 cg: RN cu: CCU pv: 38 cv: 4055 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 03/01/2019] el: 2 cg: RN cu: CCU pv: -9.5 cv: -1318.38 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 03/01/2019] el: 2 cg: RN cu: CCU pv: -9.5 cv: 920.575 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 03/01/2019] el: 2 cg: RN cu: CCU pv: -9.5 cv: -9.5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 03/01/2019] el: 2 cg: RN cu: CCU pv: 38 cv: 4055 ac: 24 ap: none re: 0
id: PT t0: [15:35:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 17.9 n1: 17.9 rs: Final st: NotStopd id: INR t0: [15:35:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: PTT t0: [15:35:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 39.4 n1: 39.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [15:35:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: PT(11-13.5) t0: [15:35:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 17.9 n1: 17.9 rs: Final st: NotStopd id: PTT(22-35) t0: [15:35:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 39.4 n1: 39.4 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 29.4118 n1: 29.4118 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 1:2.6 st: NotStopd id: Airway Size t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 11.9 n1: 11.9 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Pressure Support t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 2500 n1: 2500 st: NotStopd id: Ve High t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 656 n1: 656 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 03/01/2019] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Glucose t0: [17:00:00 03/01/2019] el: 0 cg: CoWker cu: CCU v1: 119 n1: 119 rs: Manual st: NotStopd id: Glucose (70-105) t0: [17:00:00 03/01/2019] el: 0 cg: CoWker cu: CCU v1: 119 n1: 119 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Ectopy Frequency t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: IABP setting t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: PAP S/D t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg st: NotStopd id: Respiratory Rate t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: BAEDP t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: SpO2 t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: % st: NotStopd id: Arterial BP #2 t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Temp. Site t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: calprevflg t0: [17:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Carrier t0: [17:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [17:00:00 03/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 03/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [17:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Fentanyl t0: [16:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [17:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [17:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [17:00:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Diastolic Unloading t0: [18:00:00 03/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: IABP Mean t0: [18:00:00 03/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1 D/C Date t0: [18:00:00 03/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1 Type/Site t0: [18:00:00 03/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1 Zero/Cal t0: [18:00:00 03/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1InsertDate t0: [18:00:00 03/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1SiteAppear t0: [18:00:00 03/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 WaveformAppear t0: [18:00:00 03/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: Assisted Systole t0: [18:00:00 03/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 Dsg Change t0: [18:00:00 03/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: Augmented Diastole t0: [18:00:00 03/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: BAEDP t0: [18:00:00 03/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: Systolic Unloading t0: [18:00:00 03/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 Tubing Change t0: [18:00:00 03/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd
id: Less Restrict Meas. t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Edema Location/Amt#1 t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital st: NotStopd id: Edema Location/Amt#2 t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 2 mm st: NotStopd id: Health Care Proxy t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP setting t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Impaired Skin Site#1 t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: PAP Mean t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: PAP S/D t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Position Change t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Pressure Sore Site#1 t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Arterial BP #2 t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: calprevflg t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd
id: Carrier t0: [18:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [18:00:00 03/01/2019] el: 1 ai: 354 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 03/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [18:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [18:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [18:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [18:00:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: INV Line#3 Type/Site t0: [19:00:00 03/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3InsertDate t0: [19:00:00 03/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3SiteAppear t0: [19:00:00 03/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#3 Dsg Change t0: [19:00:00 03/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#3 Tubing Change t0: [19:00:00 03/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: PAP S/D t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Precautions t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Arterial BP #2 t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Temp. Site t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [19:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Carrier t0: [19:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 03/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [19:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [19:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [19:00:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: BSA t0: [19:32:00 03/01/2019] el: 1033 cg: -1 cu: CCU v1: 1.83525 n1: 1.83525 u1: m2 id: Admit Wt t0: [19:32:00 03/01/2019] el: 1032 cg: -1 cu: CCU v1: 70 n1: 70 u1: kg id: Allergy 1 t0: [19:32:00 03/01/2019] el: 1020 cg: -1 cu: CCU v1: No Known Drug Allergies id: Diagnosis/op t0: [19:32:00 03/01/2019] el: 1023 cg: -1 cu: CCU v1: CORONARY ARTERY DISEASE id: Service t0: [19:32:00 03/01/2019] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [19:32:00 03/01/2019] el: 1034 cg: -1 cu: CCU v1: 67 n1: 67 u1: inches id: Readmission t0: [19:32:00 03/01/2019] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [19:32:00 03/01/2019] el: 1006 cg: -1 cu: CCU v1: M id: Religion t0: [19:32:00 03/01/2019] el: 1000 cg: -1 cu: CCU v1: RCA id: Allergy 2 t0: [19:32:00 03/01/2019] el: 1021 cg: -1 cu: CCU id: Ext t0: [19:32:00 03/01/2019] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [19:32:00 03/01/2019] el: 1022 cg: -1 cu: CCU
id: INV Line#2 Type/Site t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4 Type/Site t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#4 Dsg Change t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#4 Tubing Change t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd
id: Hematocrit t0: [20:04:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 41 n1: 41 u1: % rs: Final st: NotStopd
id: Service Type t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: PAP S/D t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: Precautions t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Arterial BP #2 t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Temp. Site t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Dobutamine t0: [20:00:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 4.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [20:09:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Lactic Acid t0: [20:09:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Arterial Base Excess t0: [20:09:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 6 n1: 6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [20:09:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Arterial PaCO2 t0: [20:09:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [20:09:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 115 n1: 115 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [20:09:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [20:09:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: SaO2 t0: [20:09:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: ABP Alarm (Lo/Hi) t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd
id: Pain Present t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Pain Cause t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Sputum Color/Consist t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd
id: Carrier t0: [20:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 03/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [20:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: CaO2 t0: [20:09:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 18.1638 n1: 18.1638 u1: ml/dl st: NotStopd id: Cardiac Index t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 2.06522 n1: 2.06522 u1: ... st: NotStopd id: DO2I t0: [20:09:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 372.6 n1: 372.6 u1: ml/m/m st: NotStopd id: Hemoglobin t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 13.7 n1: 13.7 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 64 n1: 64 rs: Manual st: NotStopd id: C.O. (fick) t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 3.79654 n1: 3.79654 u1: L/min st: NotStopd
id: Arterial BP t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: SVR t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1200 n1: 1200 u1: ... st: NotStopd id: SVRI t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 2202.9 n1: 2202.9 u1: ... st: NotStopd
id: Riker-SAS Scale t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd
id: Hematocrit t0: [19:48:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 28.7 n1: 28.7 u1: % rs: Final st: NotStopd
id: Diet Type t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Abdominal Assessment t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Angio Appearance #1 t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Dressing #2 t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Angio Site #1 t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: RLE Temp/Color t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Radial Pulse R/L t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Respiratory Pattern t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Color/Appear t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Bowel Sounds t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Corneal Reflex R/L t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Intact v2: Intact st: NotStopd id: Cough Reflex t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Eye Opening t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: Gag Reflex t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: LL Strength/Movement t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: Level of Conscious t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pupil Response R/L t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 4 mm v2: 4 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: Responds to Stimuli t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Spontaneous Movement t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Verbal Response t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: Fentanyl t0: [20:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: Code Status t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: PAP Mean t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: PAP S/D t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [20:45:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:45:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:45:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [20:45:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 4.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital st: NotStopd id: Edema Location/Amt#2 t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 2 mm st: NotStopd id: Education Barrier t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Education Handout t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Response t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Position Change t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Reason For Restraint t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Pt./Family Informed t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Braden Activity t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: HOB t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Activity t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Position t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: Therapeutic Bed t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Back st: NotStopd
id: BUN t0: [19:48:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: Calcium t0: [19:48:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 8.8 n1: 8.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [19:48:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine t0: [19:48:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [19:48:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 111 n1: 111 rs: Final st: NotStopd id: Magnesium t0: [19:48:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous t0: [19:48:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 6.2 n1: 6.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [19:48:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium t0: [19:48:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 135 n1: 135 rs: Final st: NotStopd id: BUN (6-20) t0: [19:48:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [19:48:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 8.8 n1: 8.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [19:48:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [19:48:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [19:48:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [19:48:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 111 n1: 111 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [19:48:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [19:48:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 6.2 n1: 6.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [19:48:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [19:48:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 135 n1: 135 rs: Final st: NotStopd
id: Service Type t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: PAP S/D t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:55:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:55:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [20:55:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 4.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: PAP S/D t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: calprevflg t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [21:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [21:00:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 4.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4391235 hi: 19952 t0: [22:00:00 03/01/2019] tf: [06:00:00 04/01/2019] mn: Heparin pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: ASDIR it: C ss: Y di: Ongoing xv: 36 xu: Hours pi: 4391237 hi: 19952 t0: [22:00:00 03/01/2019] tf: [21:00:00 04/01/2019] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Carrier t0: [21:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 03/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 8.125 vu: ml id: Urine Out Foley t0: [21:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 39 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Hematocrit t0: [21:17:00 03/01/2019] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 u1: % rs: Final st: NotStopd
id: Cardiac Index t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 2.6087 n1: 2.6087 u1: ... st: NotStopd id: SVR t0: [20:55:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 850 n1: 850 u1: ... st: NotStopd id: SVR t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 950 n1: 950 u1: ... st: NotStopd id: SVRI t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1747.13 n1: 1747.13 u1: ... st: NotStopd id: Hemoglobin t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10.2 n1: 10.2 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 63 n1: 63 rs: Manual st: NotStopd id: C.O. (fick) t0: [21:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 4.80789 n1: 4.80789 u1: L/min st: NotStopd
id: Compliance (40-60ml) t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 1:2.6 st: NotStopd id: Airway Size t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 6.6 n1: 6.6 u1: L/min st: NotStopd id: PEEP Set t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 2500 n1: 2500 st: NotStopd id: Ve High t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 480 n1: 480 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:40:00 03/01/2019] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Heparin io: D5W 250.0ml + 25000Uhr Heparin el: 100 cg: RN cu: CCU am: 25000 du: Uhr rt: IV Drip id: Heparin io: D5W 250.0ml + 25000Uhr Heparin el: 200 cg: RN cu: CCU am: 25000 du: Uhr rt: IV Drip
id: Service Type t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg st: NotStopd id: PAP S/D t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: calprevflg t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [22:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [22:00:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 4.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Carrier t0: [22:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 03/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Fingerstick Glucose t0: [22:00:00 03/01/2019] el: 0 cg: CoWker cu: CCU v1: 120 n1: 120 rs: Manual st: NotStopd
id: Pain Present t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Pain Cause t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Location t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Sputum Color/Consist t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd
id: Gastric Meds t0: [22:00:00 03/01/2019] el: 1 ai: 111 cg: RN cu: CCU vo: 250 vu: ml
id: Diet Type t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: LLE Temp/Color t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LUE Temp/Color t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Angio Appearance #1 t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Dressing #2 t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Site #1 t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: RLE Temp/Color t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUE Temp/Color t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Respiratory Pattern t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Source t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd
id: Less Restrict Meas. t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital st: NotStopd id: Edema Location/Amt#2 t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 2 mm st: NotStopd id: Education Topic #1 t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Position Change t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pressure Sore Site#1 t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Reason For Restraint t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [22:45:00 03/01/2019] el: 2 ai: 117 cg: RN cu: CCU vu: ml nb: 1
id: Heparin t0: [22:45:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: HOB t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Oral Care t0: [20:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: Skin Care t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Service Type t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: PAP Mean t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: PAP S/D t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [23:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [23:00:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [23:00:00 03/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 4.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Carrier t0: [23:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 03/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 03/01/2019] el: 1 cg: RN cu: CCU vo: 38 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 03/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Pain Present t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg st: NotStopd id: PAP S/D t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Pain Cause t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Location t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [00:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [00:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [00:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 4.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Sputum Source/Amt t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd
id: Carrier t0: [00:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 04/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Less Restrict Meas. t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital st: NotStopd id: Edema Location/Amt#2 t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 2 mm st: NotStopd id: GI#1 Intub Site t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Flatus t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Follows Commands t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [22:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Clamped v2: Clear st: NotStopd id: GU Cath Insert Date t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Height of Bed t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: LL Strength/Movement t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #2 t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position Change t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: RL Strength/Movement t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: RUE Temp/Color t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Bowel Sounds t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: HOB t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Position t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#4 Dsg Change t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: PressureReduceDevice t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: INV#2 Cap Change t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#4 Tubing Change t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Therapeutic Bed t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd
id: Compliance (40-60ml) t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 26.3158 n1: 26.3158 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 9 n1: 9 u1: L/min st: NotStopd id: PEEP Set t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:20:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Tube Feeding t0: [00:00:00 04/01/2019] el: 1 ai: -1 cg: RN cu: CCU vo: 10 vu: ml nb: 1
id: Corneal Reflex R/L t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Intact v2: Intact st: NotStopd id: Diet Type t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Feeding v2: Clear st: NotStopd id: Pupil Response R/L t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 4 mm v2: 4 mm st: NotStopd id: Stool Guaiac t0: [00:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd
pi: 4391807 hi: 19952 t0: [02:00:00 04/01/2019] tf: [01:00:00 05/01/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [01:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [01:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [01:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [01:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [01:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 04/01/2019] 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 04/01/2019] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [01:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [01:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [01:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 4.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:15:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:15:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:15:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:15:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [01:15:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:15:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [01:15:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:15:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [01:15:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: PAP S/D t0: [01:15:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Arterial BP t0: [01:15:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:15:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [01:15:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:15:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:15:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:15:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:15:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:15:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:15:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:15:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [01:15:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [01:15:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [01:15:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:15:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:15:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [01:15:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: PAP Mean t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: PAP S/D t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PCWP t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: Arterial BP t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [01:00:00 04/01/2019] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: Carrier t0: [01:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 04/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 31 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Fentanyl t0: [01:30:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:30:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:30:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [01:30:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: PAP S/D t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [02:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [02:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [02:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Circulation/SkinInt t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital st: NotStopd id: Edema Location/Amt#2 t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 2 mm st: NotStopd id: Education Topic #1 t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Pain Cause t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position Change t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pressure Sore Site#1 t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Reason For Restraint t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd
id: Carrier t0: [02:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [00:00:00 04/01/2019] el: 1 ai: 111 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 04/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: HOB t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Position t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: Therapeutic Bed t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Back st: NotStopd
id: Service Type t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [02:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: PAP S/D t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Carrier t0: [03:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 04/01/2019] el: 2 ai: 117 cg: RN cu: CCU vo: 8.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 04/01/2019] el: 2 ai: 117 cg: RN cu: CCU vo: 8.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 04/01/2019] el: 2 ai: 117 cg: RN cu: CCU vo: 8.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 04/01/2019] el: 2 ai: 117 cg: RN cu: CCU vo: 8.5 vu: ml id: Tube Feeding t0: [01:00:00 04/01/2019] el: 1 ai: -1 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [02:00:00 04/01/2019] el: 1 ai: -1 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [03:00:00 04/01/2019] el: 1 ai: -1 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 04/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 295 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Fentanyl t0: [03:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [03:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [03:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Hematocrit t0: [03:36:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 36 n1: 36 u1: % rs: Final st: NotStopd
id: Sputum Color/Consist t0: [03:40:00 04/01/2019] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:40:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd
id: Service Type t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: CVP t0: [03:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [03:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [03:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: PAP Mean t0: [03:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: PAP S/D t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: PAP S/D t0: [03:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Arterial BP t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [03:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [03:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [03:25:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [03:30:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:25:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [03:30:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [03:25:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [03:30:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [03:25:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [03:30:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Mixed Venous O2% Sat t0: [03:25:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 rs: Manual st: NotStopd
id: Temp. Site t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd
id: Corneal Reflex R/L t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Intact v2: Intact st: NotStopd id: Cough Reflex t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Flatus t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Follows Commands t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Height of Bed t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUE Temp/Color t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #2 t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Pupil Response R/L t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: RUE Temp/Color t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Radial Pulse R/L t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Respiratory Pattern t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Spontaneous Movement t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#2 t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 2 mm st: NotStopd id: Education Topic #1 t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Position Change t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#4 Dsg Change t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Reason For Restraint t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: INV#2 Cap Change t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#4 Tubing Change t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Pt./Family Informed t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd
id: Carrier t0: [04:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 04/01/2019] el: 2 ai: 117 cg: RN cu: CCU vo: 8.5 vu: ml id: Tube Feeding t0: [04:00:00 04/01/2019] el: 1 ai: -1 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 04/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 115 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Pain Present t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: PAP S/D t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [04:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [04:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [04:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Oral Care t0: [23:00:00 03/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Art.pH t0: [04:07:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:07:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:07:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:07:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:07:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 120 n1: 120 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:07:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: SaO2 t0: [04:07:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Oral Care t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PressureReduceDevice t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: Therapeutic Bed t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 23.8095 n1: 23.8095 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: Hemodyn Instabil st: NotStopd id: ETT Mark/Location t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 510 n1: 510 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: WBC (4-11,000) t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 9.6 n1: 9.6 rs: Final st: NotStopd id: CaO2 t0: [04:07:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 13.24 n1: 13.24 u1: ml/dl st: NotStopd id: Cardiac Index t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 u1: ... st: NotStopd id: DO2I t0: [04:07:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 325 n1: 325 u1: ml/m/m st: NotStopd id: WBC t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 9.6 n1: 9.6 rs: Final st: NotStopd id: SVR t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 973.913 n1: 973.913 u1: ... st: NotStopd id: SVR t0: [03:30:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 973.913 n1: 973.913 u1: ... st: NotStopd id: SVRI t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 1792 n1: 1792 u1: ... st: NotStopd id: Hematocrit t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 28.2 n1: 28.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 9.9 n1: 9.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 183 n1: 183 rs: Final st: NotStopd id: RBC t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 9.6 n1: 9.6 rs: Final st: NotStopd id: C.O. (fick) t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 4.56251 n1: 4.56251 u1: L/min st: NotStopd
id: BUN t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: Calcium t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 122 n1: 122 rs: Final st: NotStopd id: Magnesium t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 5.6 n1: 5.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 134 n1: 134 rs: Final st: NotStopd id: BUN (6-20) t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 122 n1: 122 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 5.6 n1: 5.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:25:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 134 n1: 134 rs: Final st: NotStopd
pi: 4392116 hi: 19952 t0: [06:00:00 04/01/2019] tf: [05:00:00 05/01/2019] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Edema Location/Amt#1 t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd
id: HOB t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Position t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Turn t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [04:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: PT t0: [04:42:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: INR t0: [04:42:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [04:42:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 35.6 n1: 35.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:42:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:42:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: PTT(22-35) t0: [04:42:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 35.6 n1: 35.6 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: PAP S/D t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: calprevflg t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [05:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [05:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [05:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Riker-SAS Scale t0: [05:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd
id: Carrier t0: [05:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 04/01/2019] el: 2 ai: 117 cg: RN cu: CCU vo: 8.5 vu: ml id: Tube Feeding t0: [05:00:00 04/01/2019] el: 1 ai: -1 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 04/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [05:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
pi: 4392145 hi: 19952 t0: [07:00:00 04/01/2019] tf: [06:00:00 04/01/2019] mn: Heparin pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: ONCE ds: 7 it: C ss: Y dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4392146 hi: 19952 t0: [07:00:00 04/01/2019] tf: [06:00:00 04/01/2019] mn: Heparin pt: IV Piggyback st: Discontinued rt: IV fr: ASDIR it: C ss: Y di: Ongoing xv: 36 xu: Hours pi: 4392162 hi: 19952 t0: [07:00:00 04/01/2019] tf: [06:00:00 21/01/2019] mn: Heparin pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: ONCE ds: 7 it: C ss: Y dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4392163 hi: 19952 t0: [07:00:00 04/01/2019] tf: [06:00:00 21/01/2019] mn: Heparin pt: IV Piggyback st: Discontinued rt: IV fr: ASDIR it: C ss: Y di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [05:45:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:45:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: CVP t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [05:45:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:45:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [05:45:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [05:45:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [05:45:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [05:45:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: PAP Mean t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: PAP S/D t0: [05:45:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: PAP S/D t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [05:45:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:45:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:45:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:45:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:45:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:45:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:45:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:45:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [05:45:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:45:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [05:45:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:45:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [05:45:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [05:45:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [06:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Heparin t0: [06:15:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 950 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Carrier t0: [06:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 04/01/2019] el: 2 ai: 117 cg: RN cu: CCU vo: 8.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 04/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Urine Out Foley t0: [06:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 25 vu: ml
id: Pain Present t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Pain Location t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: TF Residual t0: [06:00:00 04/01/2019] el: 1 ai: 304 cg: RN cu: CCU vo: 0 vu: ml id: Gastric Meds t0: [06:00:00 04/01/2019] el: 1 ai: 111 cg: RN cu: CCU vo: 220 vu: ml id: Free Water Bolus t0: [06:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Tube Feeding t0: [06:00:00 04/01/2019] el: 1 ai: -1 cg: RN cu: CCU vo: 20 vu: ml
id: PO/Gastric In Total t0: [23:00:00 04/01/2019] el: 2 cg: RN cu: CCU cv: 310 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Diet Type t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Edema Location/Amt#1 t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd id: Edema Location/Amt#2 t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 2 mm st: NotStopd id: GI#1 Intub Site t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: GI Intub #1/Site t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Angio Site #1 t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position Change t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pressure Sore Site#1 t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Reason For Restraint t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Urine Source t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Pt./Family Informed t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd
id: HOB t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Position t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: Therapeutic Bed t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd
id: Service Type t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: LLE Temp/Color t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUE Temp/Color t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Angio Appearance #1 t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Dressing #2 t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: PAP Mean t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUE Temp/Color t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Respiratory Rate t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: calprevflg t0: [07:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Carrier t0: [07:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 04/01/2019] el: 2 ai: 117 cg: RN cu: CCU vo: 9.25 vu: ml id: Tube Feeding t0: [07:00:00 04/01/2019] el: 1 ai: -1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 04/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [07:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Fentanyl t0: [07:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [07:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 950 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [07:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [06:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd
id: Service Type t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: PAP S/D t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Precautions t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Carrier t0: [08:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 04/01/2019] el: 2 ai: 117 cg: RN cu: CCU vo: 9.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 04/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [08:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Fentanyl t0: [08:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [08:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 950 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [08:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Corneal Reflex R/L t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Intact v2: Intact st: NotStopd id: Cough Reflex t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 04/01/2019] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Periorbital v2: None st: NotStopd id: Edema Location/Amt#2 t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 2 mm st: NotStopd id: GI#1 Intub Site t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Care t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Airway Size t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: LL Strength/Movement t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #2 t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: PAP S/D t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUE Temp/Color t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Spontaneous Movement t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Suctioned v2: Copious st: NotStopd id: Therapeutic Bed t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: Verbal Response t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Bowel Sounds t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Carrier t0: [09:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 04/01/2019] el: 2 ai: 117 cg: RN cu: CCU vo: 9.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 04/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Fentanyl t0: [09:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [09:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 950 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [09:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Cardiac Index t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 2.28261 n1: 2.28261 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 rs: Manual st: NotStopd id: SaO2 t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 4.22867 n1: 4.22867 u1: L/min st: NotStopd
id: Arterial BP Mean t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: SVR t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1009.52 n1: 1009.52 u1: ... st: NotStopd id: SVRI t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1859.65 n1: 1859.65 u1: ... st: NotStopd
id: Compliance (40-60ml) t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 7.7 n1: 7.7 u1: L/min st: NotStopd id: PEEP Set t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 523 n1: 523 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [09:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: PAP S/D t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: PCWP t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [10:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [10:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 950 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [10:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: White v2: Plug st: NotStopd id: Sputum Color/Consist t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: White v2: Plug st: NotStopd id: Sputum Source/Amt t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd
id: Carrier t0: [10:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 04/01/2019] el: 2 ai: 117 cg: RN cu: CCU vo: 9.5 vu: ml id: Tube Feeding t0: [09:00:00 04/01/2019] el: 1 ai: -1 cg: RN cu: CCU vu: ml st: Restart id: Tube Feeding t0: [10:00:00 04/01/2019] el: 1 ai: -1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 04/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [10:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Tube Feeds In Total t0: [23:00:00 04/01/2019] el: 2 cg: RN cu: CCU pv: 30 cv: 380 ac: 24 ap: none re: 0
id: Respiratory Rate Set t0: [10:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd
id: Edema Location/Amt#1 t0: [10:00:00 04/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: Imp Skin Cleanse #1 t0: [10:00:00 04/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: ImpSkin Character #1 t0: [10:00:00 04/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: ImpSkin Drain/Amt#1 t0: [10:00:00 04/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: ImpSkin Wound Base#1 t0: [10:00:00 04/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: ImpSkin Wth/Lth #1 t0: [10:00:00 04/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: Impaired Skin Site#1 t0: [10:00:00 04/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4392611 hi: 19952 t0: [11:00:00 04/01/2019] tf: [10:00:00 05/01/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#2 t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 2 mm st: NotStopd id: Education Topic #1 t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: GI#1 Tube PlaceCheck t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PresSoreStage/Heal#1 t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Through Dermis v2: No st: NotStopd id: PressSore Wth/Lth #1 t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 4 cm v2: 7 cm st: NotStopd id: PressSoreCleansing#1 t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: PressSoreWoundBase#1 t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Purple st: NotStopd id: Pressure Sore Site#1 t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Reason For Restraint t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Diaphoretic st: NotStopd id: Stool Color/Consist t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [09:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Fecal Incont Bag st: NotStopd id: Pt./Family Informed t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Braden Activity t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Service Type t0: [10:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [10:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [10:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: HOB t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4SiteAppear t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: PAP Mean t0: [10:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg st: NotStopd id: PAP S/D t0: [10:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: Arterial BP t0: [10:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Position t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#4 Dsg Change t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: PressureReduceDevice t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Pinpoint v2: Pinpoint st: NotStopd id: Respiratory Rate t0: [10:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [10:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: INV#2 Cap Change t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#4 Tubing Change t0: [08:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Therapeutic Bed t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: calprevflg t0: [10:30:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [10:30:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:30:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [10:30:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 950 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [10:30:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4392911 hi: 19952 t0: [16:00:00 04/01/2019] tf: [20:00:00 04/01/2019] mn: Captopril pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [11:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [11:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [11:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [11:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [11:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: PAP S/D t0: [11:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [11:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Carrier t0: [11:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 04/01/2019] el: 2 ai: 117 cg: RN cu: CCU vo: 9.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 04/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [11:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 108 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 3.75 vu: ml
id: Fentanyl t0: [11:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [11:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 950 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [11:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 22.7273 n1: 22.7273 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 1:4 st: NotStopd id: Airway Size t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 7.6 n1: 7.6 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 501 n1: 501 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: PAP Mean t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: PAP S/D t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 37.9444 n1: 37.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 100.3 n1: 100.3 u1: Deg. F st: NotStopd id: calprevflg t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Carrier t0: [12:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 04/01/2019] el: 2 ai: 117 cg: RN cu: CCU vo: 9.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 04/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [12:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 210 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [12:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [12:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 950 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [12:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 04/01/2019] el: 2 cg: RN cu: CCU pv: 66.75 cv: 1439 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 04/01/2019] el: 2 cg: RN cu: CCU pv: 96.75 cv: 2129 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 04/01/2019] el: 2 cg: RN cu: CCU pv: 280 cv: 280 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 04/01/2019] el: 2 cg: RN cu: CCU pv: 280 cv: 2024 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 04/01/2019] el: 2 cg: RN cu: CCU pv: -183.25 cv: 105 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 04/01/2019] el: 2 cg: RN cu: CCU pv: -183.25 cv: 1025.57 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 04/01/2019] el: 2 cg: RN cu: CCU pv: -183.25 cv: -183.25 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 04/01/2019] el: 2 cg: RN cu: CCU pv: 280 cv: 2024 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Corneal Reflex R/L t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Intact v2: Intact st: NotStopd id: Cough Reflex t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Daily Wake Up t0: [12:00:00 04/01/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Edema Location/Amt#2 t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 2 mm st: NotStopd id: GI#1 Intub Site t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4 Type/Site t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: Abdominal Assessment t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #2 t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg st: NotStopd id: PAP S/D t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#4 Dsg Change t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Pressure Sore Site#1 t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: PressureReduceDevice t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUE Temp/Color t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: INV#2 Cap Change t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#4 Tubing Change t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [13:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Fingerstick Glucose t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 152 n1: 152 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [12:00:00 04/01/2019] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: Carrier t0: [13:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 04/01/2019] el: 2 ai: 117 cg: RN cu: CCU vo: 9.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 04/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [13:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [13:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [13:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 950 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [13:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 11.5 n1: 11.5 rs: Final st: NotStopd id: WBC t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 11.5 n1: 11.5 rs: Final st: NotStopd id: Hematocrit t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 27.7 n1: 27.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 9.8 n1: 9.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 204 n1: 204 rs: Final st: NotStopd id: RBC t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.23 n1: 3.23 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 11.5 n1: 11.5 rs: Final st: NotStopd
id: TF Residual t0: [09:00:00 04/01/2019] el: 1 ai: 304 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [11:00:00 04/01/2019] el: 1 ai: -1 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [12:00:00 04/01/2019] el: 1 ai: -1 cg: RN cu: CCU vo: 20 vu: ml
id: BUN t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: Calcium t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 147 n1: 147 rs: Final st: NotStopd id: Magnesium t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 4.7 n1: 4.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 134 n1: 134 rs: Final st: NotStopd id: BUN (6-20) t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Chloride (100-112) t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 147 n1: 147 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 4.7 n1: 4.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 134 n1: 134 rs: Final st: NotStopd
id: PT t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 15.3 n1: 15.3 rs: Final st: NotStopd id: INR t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 34.2 n1: 34.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 15.3 n1: 15.3 rs: Final st: NotStopd id: PTT(22-35) t0: [13:03:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 34.2 n1: 34.2 rs: Final st: NotStopd
id: Service Type t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: PAP Mean t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: PAP S/D t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: calprevflg t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Carrier t0: [14:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: TF Residual t0: [13:00:00 04/01/2019] el: 1 ai: 304 cg: RN cu: CCU vo: 35 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 04/01/2019] el: 2 ai: 117 cg: RN cu: CCU vo: 9.5 vu: ml id: Tube Feeding t0: [13:00:00 04/01/2019] el: 1 ai: -1 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [14:00:00 04/01/2019] el: 1 ai: -1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 04/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [14:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [14:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 950 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [14:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4393691 hi: 19952 t0: [16:00:00 04/01/2019] tf: [15:00:00 05/01/2019] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4393692 hi: 19952 t0: [16:00:00 04/01/2019] tf: [19:00:00 08/01/2019] mn: Lactulose pt: Unit Dose st: Discontinued rt: PO fr: Q8H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [15:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [15:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [15:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [15:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [15:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: PAP S/D t0: [15:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Carrier t0: [15:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 04/01/2019] el: 2 ai: 117 cg: RN cu: CCU vo: 9.5 vu: ml id: Tube Feeding t0: [15:00:00 04/01/2019] el: 1 ai: -1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 04/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [15:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dobutamine t0: [15:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Heparin t0: [15:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 1050 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Corneal Reflex R/L t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Intact v2: Intact st: NotStopd id: Cough Reflex t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Daily Wake Up t0: [16:00:00 04/01/2019] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Eye Opening t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4 Type/Site t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: Activity t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: KneeImmobilizer/Loc t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: On st: NotStopd id: LL Strength/Movement t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: Level of Conscious t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: PAP S/D t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Position t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#4 Dsg Change t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: PressureReduceDevice t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: PressureReduceDevice t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: Reason For Restraint t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: INV#2 Cap Change t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#4 Tubing Change t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Therapeutic Bed t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Source t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Carrier t0: [16:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 04/01/2019] el: 2 ai: 117 cg: RN cu: CCU vo: 10.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 04/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [16:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [16:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 1050 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [16:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 29.4118 n1: 29.4118 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 1:4 st: NotStopd id: Airway Size t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 7.2 n1: 7.2 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 2600 n1: 2600 st: NotStopd id: Ve High t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 490 n1: 490 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 04/01/2019] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: KneeImmobilizer/Loc t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Off st: NotStopd id: LLE Temp/Color t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Angio Appearance #1 t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Dressing #2 t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Cavity t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: PAP Mean t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: PAP S/D t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: PressureReduceDevice t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Waffles st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Rate t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Stool Color/Consist t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: Stool Management t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Fecal Incont Bag st: NotStopd id: Temp. Site t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: calprevflg t0: [17:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Carrier t0: [17:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 04/01/2019] el: 2 ai: 117 cg: RN cu: CCU vo: 10.5 vu: ml id: Tube Feeding t0: [16:00:00 04/01/2019] el: 1 ai: -1 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [17:00:00 04/01/2019] el: 1 ai: -1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 04/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [17:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [17:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [17:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 1050 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [17:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [17:00:00 04/01/2019] el: 0 cg: CoWker cu: CCU v1: 135 n1: 135 rs: Manual st: NotStopd
id: Art.pH t0: [17:50:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: CaO2 t0: [17:50:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 13.048 n1: 13.048 u1: ml/dl st: NotStopd id: Glucose t0: [17:50:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Arterial Base Excess t0: [17:50:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:50:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:50:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:50:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:50:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Glucose (70-105) t0: [17:50:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: SaO2 t0: [17:50:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
pi: 4394709 hi: 19952 t0: [19:00:00 04/01/2019] tf: [21:00:00 10/01/2019] mn: CeftriaXONE pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 19 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [17:50:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: CVP t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Cardiac Index t0: [17:50:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 2.66304 n1: 2.66304 u1: ... st: NotStopd id: Cardiac Index t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 2.66304 n1: 2.66304 u1: ... st: NotStopd id: Circulation/SkinInt t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: DO2I t0: [17:50:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 345.8 n1: 345.8 u1: ml/m/m st: NotStopd id: Risk for Falls t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Edema Location/Amt#2 t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms v2: 2 mm st: NotStopd id: Health Care Proxy t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Heart Rate t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: PAP S/D t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: Arterial BP t0: [17:50:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:50:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Pressure Sore Site#1 t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: SVR t0: [17:50:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 848.98 n1: 848.98 u1: ... st: NotStopd id: SVR t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 848.98 n1: 848.98 u1: ... st: NotStopd id: SVRI t0: [17:50:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1563.91 n1: 1563.91 u1: ... st: NotStopd id: SVRI t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1563.91 n1: 1563.91 u1: ... st: NotStopd id: Side Rails t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Mixed Venous O2% Sat t0: [17:50:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 61 n1: 61 rs: Manual st: NotStopd id: C.O. (fick) t0: [17:50:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 4.86513 n1: 4.86513 u1: L/min st: NotStopd
id: Carrier t0: [18:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 04/01/2019] el: 2 ai: 117 cg: RN cu: CCU vo: 10.5 vu: ml id: Tube Feeding t0: [18:00:00 04/01/2019] el: 1 ai: -1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 04/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [18:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [18:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 1050 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [18:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [19:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [19:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [19:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [19:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: PAP S/D t0: [19:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [19:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [19:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Carrier t0: [19:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 04/01/2019] el: 2 ai: 117 cg: RN cu: CCU vo: 10.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 04/01/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 04/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [19:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [19:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 1050 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [19:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Tube Feeding t0: [19:00:00 04/01/2019] el: 1 ai: -1 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [19:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 45 vu: ml
id: Compliance (40-60ml) t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 26.3158 n1: 26.3158 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 23cm v2: Lip st: NotStopd id: High Insp. Pressure t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 6.2 n1: 6.2 u1: L/min st: NotStopd id: PEEP Set t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 2800 n1: 2800 st: NotStopd id: Ve High t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:00:00 04/01/2019] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Corneal Reflex R/L t0: [20:00:00 04/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2SiteAppear t0: [20:00:00 04/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#4SiteAppear t0: [20:00:00 04/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 WaveformAppear t0: [20:00:00 04/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#4 WaveformAppear t0: [20:00:00 04/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: Pupil Response R/L t0: [20:00:00 04/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: Pupil Size R/L t0: [20:00:00 04/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: Radial Pulse R/L t0: [20:00:00 04/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4394893 hi: 19952 t0: [21:00:00 04/01/2019] tf: [20:00:00 05/01/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4394894 hi: 19952 t0: [22:00:00 04/01/2019] tf: [05:00:00 05/01/2019] mn: Captopril pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [20:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: Fentanyl t0: [20:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 04/01/2019] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [20:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 1050 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [20:00:00 04/01/2019] el: 2 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [20:21:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 8.9 n1: 8.9 rs: Final st: NotStopd id: WBC t0: [20:21:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 8.9 n1: 8.9 rs: Final st: NotStopd id: Hematocrit t0: [20:21:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 27.6 n1: 27.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [20:21:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 9.5 n1: 9.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [20:21:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 199 n1: 199 rs: Final st: NotStopd id: RBC t0: [20:21:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.17 n1: 3.17 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [20:21:00 04/01/2019] el: 0 cg: 1663 cu: CCU v1: 8.9 n1: 8.9 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: CVP t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Diet Type t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: GU Catheter Size t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Height of Bed t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: INV Line#4 Type/Site t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 28 n2: 28 st: NotStopd id: Abdominal Assessment t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #2 t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Cavity t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: PAP S/D t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Position Change t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#4 Dsg Change t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: RL Strength/Movement t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 04/01/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU